Ms Amanda Desjardin, LICSW in Worcester, MA - Medicare Social Worker Provider

Ms Amanda Desjardin, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 442-5551.

Ms Amanda Desjardin is licensed to practice in Massachusetts (license number 125449) 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 1225416712.

Contact Information

	Ms Amanda Desjardin, LICSW
	55 Lake Ave N, Worcester, MA 01655-0002
	(774) 442-5551
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Amanda Desjardin
Gender	Female
Speciality	Social Worker - Clinical
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225416712
Provider Enumeration Date: 05/15/2015
Last Update Date: 01/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0749651487
Enrollment ID: I20230117002249

Medical Identifiers

Medical identifiers for Ms Amanda Desjardin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225416712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	125449 (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. Ms Amanda Desjardin allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

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. Ms Amanda Desjardin 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
Ms Amanda Desjardin, LICSW Po Box 415348, Boston, MA 02241-5348 Ph: () -	Ms Amanda Desjardin, LICSW 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 442-5551

Reviews and Comments

Social Worker in Worcester, MA

Kristi Dawn Vargas, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-860-1295
Michael G Durben, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Lincoln St, Worcester, MA 01605 Phone: 978-632-9400
Jordan Doucette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000
Ms. Laurie J Drazek, LCSW, M. ED Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 Highland Street, Worcester, MA 01602 Phone: 508-860-1172
Ms. Tuyet Tran, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-981-9797
Kristine E Lotoski, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Main St, Suite 383, Worcester, MA 01608 Phone: 508-791-4976 Fax: 508-791-6723
Ms. Julia Joachim Shaw, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 617-817-2033

Ms Amanda Desjardin, LICSW - Medicare Clinical Social Worker in Worcester, MA