Jennifer Anne Witkowski, LPC, MA/QP is a medicare enrolled "Counselor - Mental Health" provider in Currie, North Carolina. Her current practice location is
165 Orr Farm Rd, Currie, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 679-6504.
Jennifer Anne Witkowski is licensed to practice in North Carolina (license number 8630) 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 1083909972.
Healthcare Provider's Profile
| Full Name | Jennifer Anne Witkowski |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 165 Orr Farm Rd, Currie, North Carolina |
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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: 1083909972
- Provider Enumeration Date: 06/20/2011
- Last Update Date: 12/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133652977
- Enrollment ID: I20241031001951
Medical Identifiers
Medical identifiers for Jennifer Anne Witkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083909972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 8630 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 8630 (North Carolina) | 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. Jennifer Anne Witkowski allows following entities to bill medicare on her behalf.
| Entity Name | Black River Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174511976
PECOS PAC ID: 0345131579
Enrollment ID: O20040324001267 |
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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 Anne Witkowski 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 Anne Witkowski, LPC, MA/QP
222 Heathcliff Rd,
Wilmington, NC 28409-4612
Ph: (847) 204-9458 | Jennifer Anne Witkowski, LPC, MA/QP
165 Orr Farm Rd,
Currie, NC 28435-5553
Ph: (910) 679-6504 |
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