Ms Andrea Jawon Foxworth, LCPC is a medicare enrolled "Social Worker - Clinical" provider in Baltimore, Maryland. Her current practice location is
1500 Union Avenue, Suite 117, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 904-2412.
Ms Andrea Jawon Foxworth is licensed to practice in Maryland (license number 14239) 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 1477794790.
Healthcare Provider's Profile
Full Name | Ms Andrea Jawon Foxworth |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1500 Union Avenue, Baltimore, Maryland |
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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: 1477794790
- Provider Enumeration Date: 03/17/2009
- Last Update Date: 06/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951748441
- Enrollment ID: I20240320000054
Medical Identifiers
Medical identifiers for Ms Andrea Jawon Foxworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477794790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LC2058 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 14239 (Maryland) | 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 Andrea Jawon Foxworth allows following entities to bill medicare on her behalf.
Entity Name | Premier Health Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285017822 PECOS PAC ID: 7618285842 Enrollment ID: O20151008000494 |
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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. Ms Andrea Jawon Foxworth 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 Andrea Jawon Foxworth, LCPC 1313 1/2 Kent Ave, Baltimore, MD 21207-4829 Ph: (443) 904-2412 | Ms Andrea Jawon Foxworth, LCPC 1500 Union Avenue, Suite 117, Baltimore, MD 21211-1975 Ph: (443) 904-2412 |
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