Mary C Girsh-jensen, LCSW CSAC is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Wheaton Franciscan Medical Group Inc and her current practice location is
3601 30th Ave, Suite 102, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 654-0487.
Mary C Girsh-jensen is licensed to practice in Wisconsin (license number 7062-123) 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 1578961181.
Healthcare Provider's Profile
| Full Name | Mary C Girsh-jensen |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 30 Years |
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| Location | 3601 30th Ave, Kenosha, Wisconsin |
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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. |
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Medical Education and Training:
- Mary C Girsh-jensen attended and graduated from University Of Wisconsin School Of Medicine in 1994
NPI Data:
- NPI Number: 1578961181
- Provider Enumeration Date: 12/12/2014
- Last Update Date: 12/12/2014
Medicare PECOS Information:
- PECOS PAC ID: 1456671882
- Enrollment ID: I20150526001320
Medical Identifiers
Medical identifiers for Mary C Girsh-jensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578961181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11266-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7062-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
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. Mary C Girsh-jensen allows following entities to bill medicare on her behalf.
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421 |
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| Entity Name | Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932312212
PECOS PAC ID: 0547200198
Enrollment ID: O20050503001288 |
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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. Mary C Girsh-jensen 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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Mary C Girsh-jensen, LCSW CSAC
3601 30th Ave, Suite 102,
Kenosha, WI 53144-1695
Ph: (262) 654-0487 | Mary C Girsh-jensen, LCSW CSAC
3601 30th Ave, Suite 102,
Kenosha, WI 53144-1695
Ph: (262) 654-0487 |
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