Ms Jessica M Maddern, LCSW is a medicare enrolled "Social Worker - Clinical" physician in Bridgeport, Connecticut. Her current practice location is
1558 Barnum Avenue, Building C, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 384-3377.
Ms Jessica M Maddern is licensed to practice in Connecticut (license number 008033) 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 1194247916.
Physician's Profile
Full Name | Ms Jessica M Maddern |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1558 Barnum Avenue, Bridgeport, Connecticut |
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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: 1194247916
- Provider Enumeration Date: 07/13/2017
- Last Update Date: 07/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 7315202538
- Enrollment ID: I20180517001191
Medical Identifiers
Medical identifiers for Ms Jessica M Maddern such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194247916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 008033 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 008033 (Connecticut) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 008033 (Connecticut) | Secondary |
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 Maddern allows following entities to bill medicare on her behalf.
Entity Name | Bridgeport Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649260845 PECOS PAC ID: 2062312598 Enrollment ID: O20040120000425 |
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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 Maddern 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 Maddern, LCSW 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 Ph: (203) 384-3377 | Ms Jessica M Maddern, LCSW 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 Ph: (203) 384-3377 |
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