Ms Jaclyn Petrov, LCSW in Bronx, NY - Medicare Clinical Social Worker Provider

Ms Jaclyn Petrov, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bronx, New York. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Queens Psychotherapy Lcsw Services P.c. and her current practice location is 3671 Hudson Manor Ter, Apt. 18a, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (561) 389-5898.

Ms Jaclyn Petrov is licensed to practice in New York (license number 080748-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578878799.

Contact Information

	Ms Jaclyn Petrov, LCSW
	3671 Hudson Manor Ter, Apt. 18a, Bronx, NY 10463-1137
	(561) 389-5898
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jaclyn Petrov
Gender	Female
Speciality	Clinical Social Worker
Experience	17 Years
Location	3671 Hudson Manor Ter, Bronx, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Jaclyn Petrov graduated from medical school in 2007

NPI Data:

NPI Number: 1578878799
Provider Enumeration Date: 08/12/2010
Last Update Date: 11/14/2013

Medicare PECOS Information:

PECOS PAC ID: 5294982500
Enrollment ID: I20131220001689

Medical Identifiers

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

Identifier	Type	State	Issuer
1578878799	NPI	-	NPPES
3266622222	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	080748-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Queens Psychotherapy Lcsw Services P.c.	9931499639	16

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 Petrov allows following entities to bill medicare on her behalf.

Entity Name	Brightpoint Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003093436 PECOS PAC ID: 6800951989 Enrollment ID: O20090225000068

Entity Name	Queens Psychotherapy Lcsw Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366806705 PECOS PAC ID: 9931499639 Enrollment ID: O20160608002581

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 Petrov 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 Petrov, LCSW 3671 Hudson Manor Ter, Apt. 18a, Bronx, NY 10463-1137 Ph: (561) 389-5898	Ms Jaclyn Petrov, LCSW 3671 Hudson Manor Ter, Apt. 18a, Bronx, NY 10463-1137 Ph: (561) 389-5898

Reviews and Comments

Social Worker in Bronx, NY

Ms. Ann Marie Gargiulo, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Fordham Plz, Bronx, NY 10458 Phone: 718-405-4400
Ms. Sharon Rose Wade, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Arthur Ave, Bronx, NY 10457 Phone: 718-466-8657 Fax: 718-716-4885
Ms. Iris Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 E 167th St, Bronx, NY 10456 Phone: 718-579-7313 Fax: 718-579-7356
Mr. Orlando Bosch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1276 Fulton Ave, Bronx, NY 10456 Phone: 718-901-8010
Loida Luisa Reyes-rivera, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1650 Grand Concourse Ave, Bronx, NY 10457 Phone: 718-518-5041
Sima Alexandra Lichtschein, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 85 W Burnside Ave, Bronx, NY 10453 Phone: 718-483-1270
Zuleyka A Grullon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 718-579-5000

Ms Jaclyn Petrov, LCSW - Medicare Clinical Social Worker in Bronx, NY