Jessica M Glover, LCSW, CADCI is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. Her current practice location is
5329 Ne Martin Luther King Blvd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 988-5183.
Jessica M Glover is licensed to practice in Oregon (license number L5148) 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 1295007243.
Healthcare Provider's Profile
Full Name | Jessica M Glover |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5329 Ne Martin Luther King Blvd, Portland, Oregon |
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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: 1295007243
- Provider Enumeration Date: 02/07/2012
- Last Update Date: 04/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 3779743513
- Enrollment ID: I20120402000227
Medical Identifiers
Medical identifiers for Jessica M Glover such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295007243 | NPI | - | NPPES |
096511 | Medicaid | OR | |
022959 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 10-06-18 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | L5148 (Oregon) | 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 M Glover allows following entities to bill medicare on her behalf.
Entity Name | Multnomah County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609914787 PECOS PAC ID: 6608771787 Enrollment ID: O20031203000025 |
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Entity Name | Clackamas County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841443587 PECOS PAC ID: 9537065560 Enrollment ID: O20031210000827 |
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Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
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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 M Glover 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 M Glover, LCSW, CADCI 421 Sw Oak St, Ste. 210, Portland, OR 97204-1817 Ph: (503) 988-7468 | Jessica M Glover, LCSW, CADCI 5329 Ne Martin Luther King Blvd, Portland, OR 97211-3237 Ph: (503) 988-5183 |
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