Rachel Jividen, LMSW in Elmira, NY - Medicare Social Worker Provider

Rachel Jividen, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Elmira, New York. Her current practice location is 1019 E Water St, Elmira, New York. You can reach out to her office (for appointments etc.) via phone at (607) 733-5696.

Rachel Jividen is licensed to practice in New York (license number 096645-1) 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 1053700211.

Contact Information

	Rachel Jividen, LMSW
	1019 E Water St, Elmira, NY 14901-3332
	(607) 733-5696
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rachel Jividen
Gender	Female
Speciality	Social Worker - Clinical
Location	1019 E Water St, Elmira, 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: 1053700211
Provider Enumeration Date: 01/12/2015
Last Update Date: 11/18/2015

Medicare PECOS Information:

PECOS PAC ID: 3678926946
Enrollment ID: I20240202001186

Medical Identifiers

Medical identifiers for Rachel Jividen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053700211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	096645-1 (New York)	Primary
101Y00000X	Counselor	(* (Not Available))	Secondary

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. Rachel Jividen allows following entities to bill medicare on her behalf.

Entity Name	Milissa Cerio
Entity Type	Practitioner - Clinical Social Worker
Entity Identifiers	NPI Number: 1730228636 PECOS PAC ID: 9436119021 Enrollment ID: I20041018000994

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. Rachel Jividen 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
Rachel Jividen, LMSW 1019 E Water St, Elmira, NY 14901-3332 Ph: () -	Rachel Jividen, LMSW 1019 E Water St, Elmira, NY 14901-3332 Ph: (607) 733-5696

Reviews and Comments

Social Worker in Elmira, NY

Mary R Bado, LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 Fax: 607-737-1379
Holly J Mccormick, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696
Christine Fallon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696
Marie Coleman, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311 W Water St, Elmira, NY 14901 Phone: 607-733-0660
Angela Colegrove, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1316 College Ave, Elmira, NY 14901 Phone: 570-418-0644
Miss Regina Keddell, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 W Water St, Elmira, NY 14905 Phone: 607-734-0980 Fax: 607-734-0981

Rachel Jividen, LMSW - Medicare Clinical Social Worker in Elmira, NY