Emily Jorgensen, is a medicare enrolled "Social Worker - Clinical" provider in Juneau, Wisconsin. Her current practice location is
199 County Road Df, Juneau, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 386-3807.
Emily Jorgensen is licensed to practice in Wisconsin (license number 9340) 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 1174976328.
Healthcare Provider's Profile
| Full Name | Emily Jorgensen |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 199 County Road Df, Juneau, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174976328
- Provider Enumeration Date: 07/22/2016
- Last Update Date: 01/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 3072949866
- Enrollment ID: I20200215000020
Medical Identifiers
Medical identifiers for Emily Jorgensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174976328 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16318 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 128617 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9340 (Wisconsin) | 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. Emily Jorgensen allows following entities to bill medicare on her behalf.
| Entity Name | County Of Dodge |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871508515
PECOS PAC ID: 2466475587
Enrollment ID: O20060104000398 |
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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. Emily Jorgensen 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 |
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Emily Jorgensen,
199 County Road Df,
Juneau, WI 53039-9512
Ph: (920) 386-4094 | Emily Jorgensen,
199 County Road Df,
Juneau, WI 53039-9512
Ph: (920) 386-3807 |
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