Ms Jill B Gardner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bangor, Maine. Her current practice location is
78 Larkin St Apt 2, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 478-7785.
Ms Jill B Gardner is licensed to practice in Maine (license number LC23944) 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 1720530041.
Healthcare Provider's Profile
Full Name | Ms Jill B Gardner |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 78 Larkin St Apt 2, Bangor, Maine |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720530041
- Provider Enumeration Date: 11/03/2016
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971036583
- Enrollment ID: I20241104001338
Medical Identifiers
Medical identifiers for Ms Jill B Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720530041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LC6547 (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | LC23944 (Maine) | 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. Ms Jill B Gardner allows following entities to bill medicare on her behalf.
Entity Name | Health Affiliates Maine, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
---|
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. Ms Jill B Gardner 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 |
Ms Jill B Gardner, LCSW 78 Larkin St Apt 2, Bangor, ME 04401-6214 Ph: (207) 478-7785 | Ms Jill B Gardner, LCSW 78 Larkin St Apt 2, Bangor, ME 04401-6214 Ph: (207) 478-7785 |
Reviews and Comments