Michelle D Jefferson, is a medicare enrolled "Social Worker - Clinical" provider in New Britain, Connecticut. Her current practice location is
233 Main St, New Britain, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 229-4830.
Michelle D Jefferson is licensed to practice in Connecticut (license number 11282) 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 1275199747.
Healthcare Provider's Profile
Full Name | Michelle D Jefferson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 233 Main St, New Britain, Connecticut |
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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: 1275199747
- Provider Enumeration Date: 05/10/2019
- Last Update Date: 12/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 8628482643
- Enrollment ID: I20210202001245
Medical Identifiers
Medical identifiers for Michelle D Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275199747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 004368 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 11282 (Connecticut) | 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. Michelle D Jefferson allows following entities to bill medicare on her behalf.
Entity Name | Community Health Resources, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155 |
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Entity Name | Community Mental Health Affiliates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174624423 PECOS PAC ID: 3375431968 Enrollment ID: O20040305000722 |
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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. Michelle D Jefferson 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 |
Michelle D Jefferson, 233 Main St, New Britain, CT 06051-4204 Ph: (860) 229-4830 | Michelle D Jefferson, 233 Main St, New Britain, CT 06051-4204 Ph: (860) 229-4830 |
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