Jessica Elizabeth Duval, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Georgetown, Kentucky. Her current practice location is
3107 Cincinnati Rd, Georgetown, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 570-9313.
Jessica Elizabeth Duval is licensed to practice in Kentucky (license number 254546) 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 1295236537.
Healthcare Provider's Profile
| Full Name | Jessica Elizabeth Duval |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3107 Cincinnati Rd, Georgetown, Kentucky |
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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: 1295236537
- Provider Enumeration Date: 02/22/2018
- Last Update Date: 11/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 3870909245
- Enrollment ID: I20210309002995
Medical Identifiers
Medical identifiers for Jessica Elizabeth Duval such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295236537 | NPI | - | NPPES |
| 7100532740 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 164426 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 254546 (Kentucky) | 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 Elizabeth Duval allows following entities to bill medicare on her behalf.
| Entity Name | Changed Lives Substance Abuse Treatment |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609412618
PECOS PAC ID: 8729494190
Enrollment ID: O20210309002808 |
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| Entity Name | Deaton & Deaton Counseling & Consulting |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346723178
PECOS PAC ID: 7810379609
Enrollment ID: O20220726002035 |
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| Entity Name | Djg Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417608738
PECOS PAC ID: 3971951351
Enrollment ID: O20231122003236 |
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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 Elizabeth Duval 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 Elizabeth Duval, LCSW, LCADC
1718 Alexandria Dr Ste 225,
Lexington, KY 40504-3144
Ph: (859) 619-4591 | Jessica Elizabeth Duval, LCSW, LCADC
3107 Cincinnati Rd,
Georgetown, KY 40324-9505
Ph: (502) 570-9313 |
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