Jennifer A Crider, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Liverpool, New York. Her current practice location is
135 Old Cove Rd Ste 208, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 944-0379.
Jennifer A Crider is licensed to practice in New York (license number 090374) 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 1891316964.
Healthcare Provider's Profile
| Full Name | Jennifer A Crider |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 135 Old Cove Rd Ste 208, Liverpool, New York |
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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: 1891316964
- Provider Enumeration Date: 04/30/2020
- Last Update Date: 03/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830504869
- Enrollment ID: I20210224001942
Medical Identifiers
Medical identifiers for Jennifer A Crider such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891316964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 32856 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 090374 (New York) | Primary |
| 104100000X | Social Worker | 101607 (New York) | Secondary |
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. Jennifer A Crider allows following entities to bill medicare on her behalf.
| Entity Name | Bright Path Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316046113
PECOS PAC ID: 3577537885
Enrollment ID: O20040823001122 |
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| Entity Name | Jennifer A. Crider, Lcsw, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093305708
PECOS PAC ID: 8921413956
Enrollment ID: O20210224001876 |
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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. Jennifer A Crider 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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Jennifer A Crider, LCSW
4985 Blacksmith Path,
Liverpool, NY 13088-4703
Ph: (315) 944-0379 | Jennifer A Crider, LCSW
135 Old Cove Rd Ste 208,
Liverpool, NY 13090-3775
Ph: (315) 944-0379 |
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