Mr Jeremy Keith Greenwood, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Centralia, Washington. His current practice location is
2428 W Reynolds Ave, Centralia, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 330-9044.
Mr Jeremy Keith Greenwood is licensed to practice in Washington (license number LW00009494) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750449013.
Healthcare Provider's Profile
Full Name | Mr Jeremy Keith Greenwood |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2428 W Reynolds Ave, Centralia, Washington |
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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: 1750449013
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 03/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 3375702194
- Enrollment ID: I20120313000925
Medical Identifiers
Medical identifiers for Mr Jeremy Keith Greenwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750449013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LW00009494 (Washington) | 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. Mr Jeremy Keith Greenwood allows following entities to bill medicare on his behalf.
Entity Name | Lewis County Mental Health Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619068624 PECOS PAC ID: 5496641177 Enrollment ID: O20040227000824 |
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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. Mr Jeremy Keith Greenwood 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 |
Mr Jeremy Keith Greenwood, LICSW 2428 W Reynolds Ave, Centralia, WA 98531-4554 Ph: (360) 330-9044 | Mr Jeremy Keith Greenwood, LICSW 2428 W Reynolds Ave, Centralia, WA 98531-4554 Ph: (360) 330-9044 |
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