Wynda Jefferson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hockessin, Delaware. Her current practice location is
509 Beech Tree Ln, Hockessin, Delaware. You can reach out to her office (for appointments etc.) via phone at
(215) 609-5648.
Wynda Jefferson is licensed to practice in Pennsylvania (license number CW023556) 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 1568941839.
Healthcare Provider's Profile
Full Name | Wynda Jefferson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 509 Beech Tree Ln, Hockessin, Delaware |
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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: 1568941839
- Provider Enumeration Date: 08/08/2018
- Last Update Date: 08/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032575527
- Enrollment ID: I20230525003529
Medical Identifiers
Medical identifiers for Wynda Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568941839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | Q1-0012296 (Delaware) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC06225100 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | Q1-0012296 (Delaware) | Secondary |
1041C0700X | Social Worker - Clinical | CW023556 (Pennsylvania) | 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. Wynda Jefferson allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
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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. Wynda Jefferson 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 |
Wynda Jefferson, LCSW 509 Beech Tree Ln, Hockessin, DE 19707-1150 Ph: (215) 609-5648 | Wynda Jefferson, LCSW 509 Beech Tree Ln, Hockessin, DE 19707-1150 Ph: (215) 609-5648 |
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