Jeannine Cleaver, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mystic, Connecticut. Her current practice location is
12 Roosevelt Ave, Mystic, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(602) 459-8408.
Jeannine Cleaver is licensed to practice in Connecticut (license number 10396) 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 1336591924.
Healthcare Provider's Profile
Full Name | Jeannine Cleaver |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 12 Roosevelt Ave, Mystic, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336591924
- Provider Enumeration Date: 07/07/2016
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517396781
- Enrollment ID: I20221210000472
Medical Identifiers
Medical identifiers for Jeannine Cleaver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336591924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 10396 (Connecticut) | 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. Jeannine Cleaver allows following entities to bill medicare on her behalf.
Entity Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215393327 PECOS PAC ID: 2163756982 Enrollment ID: O20190628000228 |
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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. Jeannine Cleaver 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 |
Jeannine Cleaver, LCSW 12 Roosevelt Ave # Mailbox5, Mystic, CT 06355-2809 Ph: (602) 459-8408 | Jeannine Cleaver, LCSW 12 Roosevelt Ave, Mystic, CT 06355-2809 Ph: (602) 459-8408 |
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