Jessica Hansen-weaver, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Francisco, California. Her current practice location is
365 Fulton St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 857-6611.
Jessica Hansen-weaver is licensed to practice in California (license number 96436) 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 1700137098.
Healthcare Provider's Profile
| Full Name | Jessica Hansen-weaver |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 365 Fulton St, San Francisco, California |
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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: 1700137098
- Provider Enumeration Date: 09/26/2012
- Last Update Date: 09/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 3476920554
- Enrollment ID: I20221102001173
Medical Identifiers
Medical identifiers for Jessica Hansen-weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700137098 | NPI | - | NPPES |
| 63336 | Other | CA | ASW# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 63336 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 96436 (California) | 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 Hansen-weaver allows following entities to bill medicare on her behalf.
| Entity Name | University Of California San Francisco |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104992817
PECOS PAC ID: 3678547304
Enrollment ID: O20090403000024 |
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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 Hansen-weaver 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 Hansen-weaver, LCSW
365 Fulton St,
San Francisco, CA 94102-4489
Ph: (415) 857-6611 | Jessica Hansen-weaver, LCSW
365 Fulton St,
San Francisco, CA 94102-4489
Ph: (415) 857-6611 |
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