Mrs Jessica Lynn D Acosta, LCSW LICSW is a medicare enrolled "Social Worker - Clinical" provider in Chatham, Massachusetts. Her current practice location is
2 Lobster Ln., Apt C, Chatham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(973) 922-3551.
Mrs Jessica Lynn D Acosta is licensed to practice in Massachusetts (license number 121282) 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 1053780619.
Healthcare Provider's Profile
Full Name | Mrs Jessica Lynn D Acosta |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2 Lobster Ln., Chatham, Massachusetts |
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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: 1053780619
- Provider Enumeration Date: 09/24/2015
- Last Update Date: 01/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294092524
- Enrollment ID: I20171122000041
Medical Identifiers
Medical identifiers for Mrs Jessica Lynn D Acosta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053780619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 44SC05754900 (* (Not Available)) | Secondary |
104100000X | Social Worker | 44SL06087400 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 121282 (Massachusetts) | 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 Jessica Lynn D Acosta allows following entities to bill medicare on her behalf.
Entity Name | Wayne Behavioral Service Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487677795 PECOS PAC ID: 8820097561 Enrollment ID: O20061207000159 |
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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 Jessica Lynn D Acosta 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 Jessica Lynn D Acosta, LCSW LICSW 2 Lobster Ln., Apt C, Chatham, MA 02633 Ph: (973) 922-3551 | Mrs Jessica Lynn D Acosta, LCSW LICSW 2 Lobster Ln., Apt C, Chatham, MA 02633 Ph: (973) 922-3551 |
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