Jillian Burkley, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Manchester, New Hampshire. Her current practice location is
2 Wall St Ste 400, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 668-4111.
Jillian Burkley is licensed to practice in New Hampshire (license number EL07708) 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 1700281870.
Healthcare Provider's Profile
Full Name | Jillian Burkley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2 Wall St Ste 400, Manchester, New Hampshire |
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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: 1700281870
- Provider Enumeration Date: 10/30/2014
- Last Update Date: 11/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 0143610410
- Enrollment ID: I20211130001240
Medical Identifiers
Medical identifiers for Jillian Burkley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700281870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | EL07708 (New Hampshire) | 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. Jillian Burkley allows following entities to bill medicare on her behalf.
Entity Name | The Mental Health Center Of Greater Manchester |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609848811 PECOS PAC ID: 6709874274 Enrollment ID: O20040504000253 |
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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. Jillian Burkley 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 |
Jillian Burkley, LICSW 2 Wall St Ste 300, Manchester, NH 03101-1518 Ph: (603) 668-4111 | Jillian Burkley, LICSW 2 Wall St Ste 400, Manchester, NH 03101-1518 Ph: (603) 668-4111 |
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