Mrs Jennifer Leigh James-witteveen, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Shelby, Michigan. Her current practice location is
2838 S 56th Ave, Shelby, Michigan. You can reach out to her office (for appointments etc.) via phone at
(331) 742-1208.
Mrs Jennifer Leigh James-witteveen is licensed to practice in Michigan (license number 6801093240) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902173784.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Leigh James-witteveen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2838 S 56th Ave, Shelby, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902173784
- Provider Enumeration Date: 11/22/2011
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042681736
- Enrollment ID: I20241206003084
Medical Identifiers
Medical identifiers for Mrs Jennifer Leigh James-witteveen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902173784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801093240 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jennifer Leigh James-witteveen allows following entities to bill medicare on her behalf.
Entity Name | Mi Quiet Oasis Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023851110 PECOS PAC ID: 5799211298 Enrollment ID: O20241206003027 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Leigh James-witteveen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jennifer Leigh James-witteveen, LMSW 2838 S 56th Ave, Shelby, MI 49455-9761 Ph: (331) 742-1208 | Mrs Jennifer Leigh James-witteveen, LMSW 2838 S 56th Ave, Shelby, MI 49455-9761 Ph: (331) 742-1208 |
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