Ms Jaclyn Mistretta, LCSW in Staten Island, NY - Medicare Social Worker Provider

Ms Jaclyn Mistretta, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Staten Island, New York. Her current practice location is 37 Oceanic Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (917) 622-0114.

Ms Jaclyn Mistretta is licensed to practice in New York (license number 091687) 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 1972234649.

Contact Information

	Ms Jaclyn Mistretta, LCSW
	37 Oceanic Ave, Staten Island, NY 10312-6511
	(917) 622-0114
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jaclyn Mistretta
Gender	Female
Speciality	Social Worker - Clinical
Location	37 Oceanic Ave, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972234649
Provider Enumeration Date: 06/22/2022
Last Update Date: 06/22/2022

Medicare PECOS Information:

PECOS PAC ID: 1658735410
Enrollment ID: I20230912002441

Medical Identifiers

Medical identifiers for Ms Jaclyn Mistretta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972234649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	091687 (New York)	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 Jaclyn Mistretta allows following entities to bill medicare on her behalf.

Entity Name	Valera Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279

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 Jaclyn Mistretta 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 Jaclyn Mistretta, LCSW 37 Oceanic Ave, Staten Island, NY 10312-6511 Ph: (917) 622-0114	Ms Jaclyn Mistretta, LCSW 37 Oceanic Ave, Staten Island, NY 10312-6511 Ph: (917) 622-0114

Reviews and Comments

Social Worker in Staten Island, NY

Michelle Louise Bosco, L.M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Slosson Ter, Staten Island, NY 10301 Phone: 718-720-6727 Fax: 718-720-0326
Mrs. Hollace Merrill Beer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Grissom Ave, Staten Island, NY 10314 Phone: 718-698-6903
Mr. Edward S Wallach, LCSW, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 673 Stewart Avenue, Staten Island, NY 10314 Phone: 718-698-1795 Fax: 718-698-9357
Mr. Frank Arthur Raimondo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 290 Garretson Ave, Staten Island, NY 10305 Phone: 718-698-3222
Steven Scher, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 82 Hart Blvd, Staten Island, NY 10301 Phone: 718-727-2901 Fax: 718-727-2901
Ms. Lisbeth Horn, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Bryson Ave, Staten Island, NY 10314 Phone: 718-442-1636 Fax: 718-442-1636
Ms. Rosemarie Gaeta, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 416 Crown Ave, Staten Island, NY 10312 Phone: 718-356-8881 Fax: 718-356-1997

Ms Jaclyn Mistretta, LCSW - Medicare Clinical Social Worker in Staten Island, NY