Jennifer L Bucholtz, LCSW, CADC II is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. Her current practice location is
1258 High St, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 342-8437.
Jennifer L Bucholtz is licensed to practice in Oregon (license number A 1661) 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 1548359433.
Healthcare Provider's Profile
| Full Name | Jennifer L Bucholtz |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1258 High St, Eugene, Oregon |
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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: 1548359433
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618115148
- Enrollment ID: I20130523000027
Medical Identifiers
Medical identifiers for Jennifer L Bucholtz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548359433 | NPI | - | NPPES |
| 500661680 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CADC I 060108 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | A 1661 (Oregon) | 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 L Bucholtz allows following entities to bill medicare on her behalf.
| Entity Name | Center For Family Development, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265609184
PECOS PAC ID: 2466629217
Enrollment ID: O20120118000693 |
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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 L Bucholtz 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 |
|---|
Jennifer L Bucholtz, LCSW, CADC II
1258 High St,
Eugene, OR 97401-3238
Ph: (541) 342-8437 | Jennifer L Bucholtz, LCSW, CADC II
1258 High St,
Eugene, OR 97401-3238
Ph: (541) 342-8437 |
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