Jennifer M Saelens, LISW-SUPV LCDCIII is a medicare enrolled "Social Worker - Clinical" provider in Lancaster, Ohio. Her current practice location is
111 S Broad St, Lancaster, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 260-8300.
Jennifer M Saelens is licensed to practice in Ohio (license number I.0600103-SUPV) 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 1174088926.
Healthcare Provider's Profile
| Full Name | Jennifer M Saelens |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 111 S Broad St, Lancaster, Ohio |
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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: 1174088926
- Provider Enumeration Date: 02/06/2019
- Last Update Date: 11/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113267790
- Enrollment ID: I20190318001982
Medical Identifiers
Medical identifiers for Jennifer M Saelens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174088926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | LCDCIII.141021 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC162107 (Ohio) | Secondary |
| 104100000X | Social Worker | I.0600103-SUPV (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.0600103-SUPV (Ohio) | 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 M Saelens allows following entities to bill medicare on her behalf.
| Entity Name | Boundless Health, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447739339
PECOS PAC ID: 9931177425
Enrollment ID: O20040922000682 |
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| Entity Name | Ohioguidestone |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609123728
PECOS PAC ID: 5597910935
Enrollment ID: O20130308000507 |
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| Entity Name | I Am Boundless Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891458477
PECOS PAC ID: 9931596103
Enrollment ID: O20220419000971 |
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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 M Saelens 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 M Saelens, LISW-SUPV LCDCIII
434 Eastland Rd,
Berea, OH 44017-1217
Ph: (440) 234-2006 | Jennifer M Saelens, LISW-SUPV LCDCIII
111 S Broad St,
Lancaster, OH 43130-4398
Ph: (440) 260-8300 |
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