Ms Jessica M Gagnon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Groton, Connecticut. She graduated from healthcare school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
428 Long Hill Rd Ste 201, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 705-2840.
Ms Jessica M Gagnon is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194038174.
Healthcare Provider's Profile
Full Name | Ms Jessica M Gagnon |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 14 Years |
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Location | 428 Long Hill Rd Ste 201, Groton, Connecticut |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Jessica M Gagnon graduated from medical school in 2011
NPI Data:
- NPI Number: 1194038174
- Provider Enumeration Date: 07/20/2010
- Last Update Date: 08/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 2163649575
- Enrollment ID: I20140808000364
Medical Identifiers
Medical identifiers for Ms Jessica M Gagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194038174 | NPI | - | NPPES |
004040564 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Jessica M Gagnon allows following entities to bill medicare on her behalf.
Entity Name | United Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063413011 PECOS PAC ID: 8426042698 Enrollment ID: O20040412000491 |
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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 Jessica M Gagnon 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 Jessica M Gagnon, LCSW 428 Long Hill Rd # 201, Groton, CT 06340-3811 Ph: (860) 800-2107 | Ms Jessica M Gagnon, LCSW 428 Long Hill Rd Ste 201, Groton, CT 06340 Ph: (860) 705-2840 |
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