Ms Raenelle Bacchus, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Jersey City, New Jersey. Her current practice location is
185 Claremont Ave, Jersey City, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 903-5482.
Ms Raenelle Bacchus is licensed to practice in New Jersey (license number 44SC05688600) 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 1134615933.
Healthcare Provider's Profile
| Full Name | Ms Raenelle Bacchus |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 185 Claremont Ave, Jersey City, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134615933
- Provider Enumeration Date: 07/03/2018
- Last Update Date: 07/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901260314
- Enrollment ID: I20230918002460
Medical Identifiers
Medical identifiers for Ms Raenelle Bacchus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134615933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00254800 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05688600 (New Jersey) | 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 Raenelle Bacchus allows following entities to bill medicare on her behalf.
| Entity Name | Senior Care Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285898098
PECOS PAC ID: 0547335366
Enrollment ID: O20080813000563 |
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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 Raenelle Bacchus 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 |
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Ms Raenelle Bacchus, LCSW, LCADC
185 Claremont Ave,
Jersey City, NJ 07305-3623
Ph: (201) 903-5482 | Ms Raenelle Bacchus, LCSW, LCADC
185 Claremont Ave,
Jersey City, NJ 07305-3623
Ph: (201) 903-5482 |
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