Jenna Mohelnitzky, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brown Deer, Wisconsin. Her current practice location is
3900 W Brown Deer Rd Ste 200, Brown Deer, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 540-2170.
Jenna Mohelnitzky is licensed to practice in Wisconsin (license number 11069) 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 1013488022.
Healthcare Provider's Profile
Full Name | Jenna Mohelnitzky |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3900 W Brown Deer Rd Ste 200, Brown Deer, Wisconsin |
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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: 1013488022
- Provider Enumeration Date: 12/17/2018
- Last Update Date: 01/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274907183
- Enrollment ID: I20230316000094
Medical Identifiers
Medical identifiers for Jenna Mohelnitzky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013488022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 18605-130 (Wisconsin) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 16597 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 11069 (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. Jenna Mohelnitzky allows following entities to bill medicare on her behalf.
Entity Name | Cornerstone Counseling Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446 |
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Entity Name | Shorehaven Behavioral Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598800740 PECOS PAC ID: 0143324954 Enrollment ID: O20070404000380 |
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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. Jenna Mohelnitzky 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 |
Jenna Mohelnitzky, LCSW 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 Ph: (414) 540-2170 | Jenna Mohelnitzky, LCSW 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 Ph: (414) 540-2170 |
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