Jennifer Woodson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Phoenix, Arizona. Her current practice location is
610 E Baseline Rd Ste 5, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 230-7373.
Jennifer Woodson is licensed to practice in Arizona (license number LCSW-19356) 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 1073856688.
Healthcare Provider's Profile
| Full Name | Jennifer Woodson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 610 E Baseline Rd Ste 5, Phoenix, Arizona |
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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: 1073856688
- Provider Enumeration Date: 04/02/2013
- Last Update Date: 11/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678972601
- Enrollment ID: I20210525001500
Medical Identifiers
Medical identifiers for Jennifer Woodson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073856688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | LMSW-13540 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-19356 (Arizona) | 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 Woodson allows following entities to bill medicare on her behalf.
| Entity Name | Denova Collaborative Health, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609300854
PECOS PAC ID: 2466437736
Enrollment ID: O20040621001542 |
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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 Woodson 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 Woodson, LCSW
3101 N Central Ave Ste 550,
Phoenix, AZ 85012-2635
Ph: (602) 230-7373 | Jennifer Woodson, LCSW
610 E Baseline Rd Ste 5,
Phoenix, AZ 85042-6536
Ph: (602) 230-7373 |
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