Jessica Nguyen-wiley, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Northglenn, Colorado. Her current practice location is
10699 Melody Dr Ste 2, Northglenn, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 580-3616.
Jessica Nguyen-wiley is licensed to practice in Colorado (license number CSW.09926498) 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 1558738054.
Healthcare Provider's Profile
| Full Name | Jessica Nguyen-wiley |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 10699 Melody Dr Ste 2, Northglenn, Colorado |
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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: 1558738054
- Provider Enumeration Date: 09/01/2015
- Last Update Date: 12/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254759095
- Enrollment ID: I20200910003563
Medical Identifiers
Medical identifiers for Jessica Nguyen-wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558738054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001392 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09926498 (Colorado) | 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 Nguyen-wiley allows following entities to bill medicare on her behalf.
| Entity Name | Community Reach Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316906886
PECOS PAC ID: 4284526971
Enrollment ID: O20040326001266 |
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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 Nguyen-wiley 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 Nguyen-wiley, LCSW, LAC
1726 Virginia Dr,
Fort Lupton, CO 80621-7618
Ph: (720) 988-5202 | Jessica Nguyen-wiley, LCSW, LAC
10699 Melody Dr Ste 2,
Northglenn, CO 80234-4131
Ph: (720) 580-3616 |
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