Ms Jennifer A Putt, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Holly Springs, North Carolina. Her current practice location is
113 Holly Springs Rd Ste 202, Holly Springs, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 332-9631.
Ms Jennifer A Putt is licensed to practice in North Carolina (license number C011152) 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 1124251244.
Healthcare Provider's Profile
| Full Name | Ms Jennifer A Putt |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 113 Holly Springs Rd Ste 202, Holly Springs, North Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1124251244
- Provider Enumeration Date: 08/25/2009
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911225222
- Enrollment ID: I20190214002562
Medical Identifiers
Medical identifiers for Ms Jennifer A Putt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124251244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C011152 (North Carolina) | 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 Jennifer A Putt allows following entities to bill medicare on her behalf.
| Entity Name | Duke University Affiliated Physicians Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1316975972
PECOS PAC ID: 3779489588
Enrollment ID: O20031211000642 |
|---|
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 Jennifer A Putt 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 Jennifer A Putt, LCSW
101 Avent Meadows Ln,
Holly Springs, NC 27540-7063
Ph: (805) 660-7175 | Ms Jennifer A Putt, LCSW
113 Holly Springs Rd Ste 202,
Holly Springs, NC 27540-9423
Ph: (984) 332-9631 |
Reviews and Comments