Jessica Brooke Hanratty, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Providence, Rhode Island. Her current practice location is
335r Prairie Ave, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 444-5685.
Jessica Brooke Hanratty is licensed to practice in Rhode Island (license number CSW03369) 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 1932881133.
Healthcare Provider's Profile
| Full Name | Jessica Brooke Hanratty |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 335r Prairie Ave, Providence, Rhode Island |
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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: 1932881133
- Provider Enumeration Date: 08/07/2023
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698139657
- Enrollment ID: I20230911001630
Medical Identifiers
Medical identifiers for Jessica Brooke Hanratty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932881133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 03369 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW03369 (Rhode Island) | 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. Jessica Brooke Hanratty allows following entities to bill medicare on her behalf.
| Entity Name | Rhode Island Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861420333
PECOS PAC ID: 8921900044
Enrollment ID: O20040121000169 |
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| Entity Name | Emma Pendleton Bradley Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578768867
PECOS PAC ID: 3870527526
Enrollment ID: O20050921001082 |
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| Entity Name | Lifespan Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548506793
PECOS PAC ID: 2567455082
Enrollment ID: O20130528000089 |
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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. Jessica Brooke Hanratty 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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Jessica Brooke Hanratty, LCSW
117 Ellenfield St Ste 101,
Providence, RI 02905-4541
Ph: (401) 444-6779 | Jessica Brooke Hanratty, LCSW
335r Prairie Ave,
Providence, RI 02905-2426
Ph: (401) 444-5685 |
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