Jessica A De Larwelle, MSW is a medicare enrolled "Social Worker" provider in Everett, Washington. Her current practice location is
2930 Maple St, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 261-1500.
Jessica A De Larwelle is licensed to practice in Washington (license number LW60877309) 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 1811566409.
Healthcare Provider's Profile
Full Name | Jessica A De Larwelle |
---|
Gender | Female |
---|
Speciality | Social Worker |
---|
Location | 2930 Maple St, Everett, Washington |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811566409
- Provider Enumeration Date: 06/18/2021
- Last Update Date: 02/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739565102
- Enrollment ID: I20221008000124
Medical Identifiers
Medical identifiers for Jessica A De Larwelle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811566409 | NPI | - | NPPES |
UNKNOWN | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 8707-123 (Wisconsin) | Secondary |
104100000X | Social Worker | LW60877309 (Washington) | 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 A De Larwelle allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of Washington |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
---|
Entity Name | Harbor Youth And Family Counseling |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1205466265 PECOS PAC ID: 7012338981 Enrollment ID: O20200601002016 |
---|
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 A De Larwelle 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 |
Jessica A De Larwelle, MSW 2930 Maple St, Everett, WA 98201-3832 Ph: (425) 261-1500 | Jessica A De Larwelle, MSW 2930 Maple St, Everett, WA 98201-3832 Ph: (425) 261-1500 |
Reviews and Comments