Mrs Jennifer Lynn Youdom, LCSW-C in Princess Anne, MD - Medicare Clinical Social Worker Provider

Mrs Jennifer Lynn Youdom, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Princess Anne, Maryland. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Evolve Mental Wellness and her current practice location is 12145 Elm St, Princess Anne, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 651-2204.

Mrs Jennifer Lynn Youdom is licensed to practice in Maryland (license number 19227) 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 1427482942.

Contact Information

	Mrs Jennifer Lynn Youdom, LCSW-C
	12145 Elm St, Princess Anne, MD 21853-1358
	(410) 651-2204
	(410) 651-0790

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Lynn Youdom
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	12145 Elm St, Princess Anne, Maryland
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:

Mrs Jennifer Lynn Youdom graduated from medical school in 2013

NPI Data:

NPI Number: 1427482942
Provider Enumeration Date: 09/03/2013
Last Update Date: 11/08/2018

Medicare PECOS Information:

PECOS PAC ID: 9830482983
Enrollment ID: I20160727000220

Medical Identifiers

Medical identifiers for Mrs Jennifer Lynn Youdom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427482942	NPI	-	NPPES
119591300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	19227 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evolve Mental Wellness	6608266846	13

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 Lynn Youdom allows following entities to bill medicare on her behalf.

Entity Name	Evolve Mental Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912597857 PECOS PAC ID: 6608266846 Enrollment ID: O20211202001909

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 Lynn Youdom 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 Lynn Youdom, LCSW-C Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015	Mrs Jennifer Lynn Youdom, LCSW-C 12145 Elm St, Princess Anne, MD 21853-1358 Ph: (410) 651-2204

Reviews and Comments

Social Worker in Princess Anne, MD

Mrs. Ganiyat Halle Badmus, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11779 Somerset Ave Ste 12, Princess Anne, MD 21853 Phone: 443-754-2164 Fax: 866-993-1076
Ms. Sarah Bounds Pryor, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-2204 Fax: 410-651-0790
Deborah Easter Remines, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-9852 Fax: 410-651-1279
Sarah B Thibault, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-9852 Fax: 410-651-1279
Mr. Wasiu Badmus, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30435 Mount Vernon Rd, Princess Anne, MD 21853 Phone: 443-754-2164
Ms. Katherine A. Smith, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11120 Somerset Ave, Princess Anne, MD 21853 Phone: 410-651-4200 Fax: 410-651-4290
Kelly Ann Hawkins, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11120 Somerset Ave, Princess Anne, MD 21853 Phone: 410-651-4200 Fax: 410-651-4290

Mrs Jennifer Lynn Youdom, LCSW-C - Medicare Clinical Social Worker in Princess Anne, MD