Jesse Waterman, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Baltimore, Maryland. His current practice location is
1011 N Charles St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(443) 971-1451.
Jesse Waterman is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124585211.
Healthcare Provider's Profile
Full Name | Jesse Waterman |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1011 N Charles St, Baltimore, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124585211
- Provider Enumeration Date: 02/25/2019
- Last Update Date: 04/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739581323
- Enrollment ID: I20210702002758
Medical Identifiers
Medical identifiers for Jesse Waterman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124585211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 24653 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Jesse Waterman allows following entities to bill medicare on his behalf.
Entity Name | Families First Counseling And Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992216493 PECOS PAC ID: 4284986266 Enrollment ID: O20181220000988 |
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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. Jesse Waterman 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 |
Jesse Waterman, LMSW 5613 Winthrope Ave, Baltimore, MD 21214-2754 Ph: (443) 707-5558 | Jesse Waterman, LMSW 1011 N Charles St, Baltimore, MD 21201-5424 Ph: (443) 971-1451 |
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