Jenessa Rudell, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Fort Collins, Colorado. Her current practice location is
4856 Innovation Dr, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 494-4200.
Jenessa Rudell is licensed to practice in Colorado (license number CSW.09928071) 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 1639728454.
Healthcare Provider's Profile
Full Name | Jenessa Rudell |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4856 Innovation Dr, Fort Collins, Colorado |
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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: 1639728454
- Provider Enumeration Date: 09/04/2019
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698152171
- Enrollment ID: I20220523001783
Medical Identifiers
Medical identifiers for Jenessa Rudell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639728454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001931 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09928071 (Colorado) | 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. Jenessa Rudell allows following entities to bill medicare on her behalf.
Entity Name | Summitstone Health Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821552738 PECOS PAC ID: 4284527144 Enrollment ID: O20040204000768 |
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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. Jenessa Rudell 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 |
Jenessa Rudell, LCSW, LAC 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200 | Jenessa Rudell, LCSW, LAC 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200 |
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