Jared Whipple, is a medicare enrolled "Social Worker" provider in Manchester, Connecticut. His current practice location is
444 Center St, Manchester, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 646-3888.
Jared Whipple is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780191585.
Healthcare Provider's Profile
| Full Name | Jared Whipple |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 444 Center St, Manchester, Connecticut |
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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: 1780191585
- Provider Enumeration Date: 01/03/2018
- Last Update Date: 02/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971946625
- Enrollment ID: I20240209000109
Medical Identifiers
Medical identifiers for Jared Whipple such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780191585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Jared Whipple allows following entities to bill medicare on his behalf.
| Entity Name | Community Health Resources, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215979810
PECOS PAC ID: 5597652149
Enrollment ID: O20040301000155 |
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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. Jared Whipple 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 |
|---|
Jared Whipple,
Po Box 1845,
Vancouver, WA 98668-1845
Ph: (360) 397-8484 | Jared Whipple,
444 Center St,
Manchester, CT 06040-3926
Ph: (860) 646-3888 |
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