Jennifer Bandzwolek, is a medicare enrolled "Social Worker - Clinical" provider in Asheville, North Carolina. Her current practice location is
119 Tunnel Rd, Asheville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(401) 259-3681.
Jennifer Bandzwolek is licensed to practice in North Carolina (license number P010823) 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 1356881494.
Healthcare Provider's Profile
| Full Name | Jennifer Bandzwolek |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 119 Tunnel Rd, Asheville, 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: 1356881494
- Provider Enumeration Date: 03/07/2017
- Last Update Date: 03/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 8921345794
- Enrollment ID: I20190201000370
Medical Identifiers
Medical identifiers for Jennifer Bandzwolek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356881494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22793 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P010823 (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 Bandzwolek allows following entities to bill medicare on her behalf.
| Entity Name | October Road Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144375767
PECOS PAC ID: 3577611433
Enrollment ID: O20090501000491 |
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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 Bandzwolek 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 Bandzwolek,
1104 Davis Grey Dr,
Asheville, NC 28803-0175
Ph: (401) 259-3681 | Jennifer Bandzwolek,
119 Tunnel Rd,
Asheville, NC 28805-1869
Ph: (401) 259-3681 |
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