Jessica Redis, is a medicare enrolled "Social Worker - Clinical" provider in South Hamilton, Massachusetts. She graduated from healthcare school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lahey Clinic Inc and her current practice location is
205 Willow St, 205 Willow Street, South Hamilton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 468-7346.
Jessica Redis is licensed to practice in Massachusetts (license number 116900) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770778003.
Healthcare Provider's Profile
Full Name | Jessica Redis |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 16 Years |
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Location | 205 Willow St, South Hamilton, Massachusetts |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jessica Redis graduated from medical school in 2008
NPI Data:
- NPI Number: 1770778003
- Provider Enumeration Date: 09/10/2007
- Last Update Date: 10/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 1355620105
- Enrollment ID: I20161117002401
Medical Identifiers
Medical identifiers for Jessica Redis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770778003 | NPI | - | NPPES |
1285628552 | Other | NY | AGENCY NPI |
WVE061 | Other | NY | AGENCY MEDICARE # |
00355940 | Other | NY | AGENCY MEDICAID # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 116900 (Massachusetts) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lahey Clinic Inc | 2264336528 | 1200 |
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 Redis allows following entities to bill medicare on her behalf.
Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
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Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
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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 Redis 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 Redis, 205 Willow St, Lahey Health Primary Care, Hamilton-wenham, South Hamilton, MA 01982-2255 Ph: (978) 468-7346 | Jessica Redis, 205 Willow St, 205 Willow Street, South Hamilton, MA 01982-2255 Ph: (978) 468-7346 |
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