Ms Jennie Marie Lepien, LCSW,SAC-IT is a medicare enrolled "Social Worker - Clinical" provider in Oconomowoc, Wisconsin. Her current practice location is
175 E Wisconsin Ave Ste H, Oconomowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 567-4455.
Ms Jennie Marie Lepien is licensed to practice in Wisconsin (license number 9250-123) 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 1477187136.
Healthcare Provider's Profile
Full Name | Ms Jennie Marie Lepien |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 175 E Wisconsin Ave Ste H, Oconomowoc, Wisconsin |
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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: 1477187136
- Provider Enumeration Date: 03/02/2020
- Last Update Date: 03/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 9234505710
- Enrollment ID: I20221025001991
Medical Identifiers
Medical identifiers for Ms Jennie Marie Lepien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477187136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 18362-130 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 9250-123 (Wisconsin) | 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 Jennie Marie Lepien allows following entities to bill medicare on her behalf.
Entity Name | Prohealth Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
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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 Jennie Marie Lepien 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 Jennie Marie Lepien, LCSW,SAC-IT 430 First St, Hartford, WI 53027-1204 Ph: (262) 623-1691 | Ms Jennie Marie Lepien, LCSW,SAC-IT 175 E Wisconsin Ave Ste H, Oconomowoc, WI 53066-3057 Ph: (262) 567-4455 |
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