Jean Elyse Dievendorf, is a medicare enrolled "Social Worker" provider in Palm Bay, Florida. She graduated from healthcare school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
6050 Babcock St Se Ste 32, Palm Bay, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 684-8265.
Jean Elyse Dievendorf is licensed to practice in * (Not Available) (license number ) 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 1184173981.
Healthcare Provider's Profile
| Full Name | Jean Elyse Dievendorf |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 6050 Babcock St Se Ste 32, Palm Bay, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jean Elyse Dievendorf graduated from medical school in 2017
NPI Data:
- NPI Number: 1184173981
- Provider Enumeration Date: 09/22/2016
- Last Update Date: 02/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860822558
- Enrollment ID: I20200421000920
Medical Identifiers
Medical identifiers for Jean Elyse Dievendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184173981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | SW16874 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW16874 (Florida) | 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. Jean Elyse Dievendorf allows following entities to bill medicare on her behalf.
| Entity Name | Jean Gautreaux Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336788363
PECOS PAC ID: 1951731645
Enrollment ID: O20200421000749 |
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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. Jean Elyse Dievendorf 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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Jean Elyse Dievendorf,
2257 Whiteside Ave Se,
Palm Bay, FL 32909-6044
Ph: (321) 405-2583 | Jean Elyse Dievendorf,
6050 Babcock St Se Ste 32,
Palm Bay, FL 32909-4205
Ph: (321) 684-8265 |
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