Jennifer Nycole Lively-pagliuca, LCSW, CADC is a medicare enrolled "Social Worker" provider in Nellis Afb, Nevada. Her current practice location is
4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 653-2273.
Jennifer Nycole Lively-pagliuca is licensed to practice in Nevada (license number 9561-C) 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 1801358817.
Healthcare Provider's Profile
| Full Name | Jennifer Nycole Lively-pagliuca |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
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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: 1801358817
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 08/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092192872
- Enrollment ID: I20220517001009
Medical Identifiers
Medical identifiers for Jennifer Nycole Lively-pagliuca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801358817 | NPI | - | NPPES |
| 00758-C | Other | NV | CADC |
| 9561-C | Other | NV | LCSW |
| 250002931 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00758-C (Nevada) | Secondary |
| 104100000X | Social Worker | 8013-S (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | IC-1311 (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9561-C (Nevada) | Secondary |
| 104100000X | Social Worker | 9561-C (Nevada) | Primary |
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 Nycole Lively-pagliuca 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 Nycole Lively-pagliuca, LCSW, CADC
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
Ph: (702) 653-2273 | Jennifer Nycole Lively-pagliuca, LCSW, CADC
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
Ph: (702) 653-2273 |
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