Jill Marie Buckingham, DTR, LICSW in Shoreview, MN - Medicare Social Worker Provider

Jill Marie Buckingham, DTR, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Shoreview, Minnesota. Her current practice location is 3490 Lexington Ave N Ste 205, Shoreview, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 486-3808.

Jill Marie Buckingham is licensed to practice in Minnesota (license number 12099) 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 1235295148.

Contact Information

	Jill Marie Buckingham, DTR, LICSW
	3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044
	(651) 486-3808
	(651) 486-3858

Map and Direction

Healthcare Provider's Profile

Full Name	Jill Marie Buckingham
Gender	Female
Speciality	Social Worker - Clinical
Location	3490 Lexington Ave N Ste 205, Shoreview, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235295148
Provider Enumeration Date: 12/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6709297229
Enrollment ID: I20201204000197

Medical Identifiers

Medical identifiers for Jill Marie Buckingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235295148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	12099 (Minnesota)	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. Jill Marie Buckingham allows following entities to bill medicare on her behalf.

Entity Name	Northeast Youth & Family Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639275852 PECOS PAC ID: 6709788839 Enrollment ID: O20040121000261

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. Jill Marie Buckingham 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
Jill Marie Buckingham, DTR, LICSW 3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044 Ph: (651) 486-3808	Jill Marie Buckingham, DTR, LICSW 3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044 Ph: (651) 486-3808

Reviews and Comments

Social Worker in Shoreview, MN

Hillary Casey, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461
Trisha Lynn Lorraine Sargent, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3490 Lexington Ave N Ste 205, Shoreview, MN 55126 Phone: 651-379-3414
Bill Bedford, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3490 Lexington Ave N, #205, Shoreview, MN 55126 Phone: 651-486-3808 Fax: 651-486-3858
Amy Beth Hertle, L.I.C.S.W., L.P. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3570 Lexington Ave N, Suite 100, Shoreview, MN 55126 Phone: 651-481-0664 Fax: 651-481-3907
Mr. James William Templeton, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 470 Highway 96 W, Suite 280, Shoreview, MN 55126 Phone: 651-484-9554 Fax: 651-484-0703
Jon Mark Fisher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3490 Lexington Ave N, Suite 205, Shoreview, MN 55126 Phone: 651-486-3808 Fax: 651-486-3858

Jill Marie Buckingham, DTR, LICSW - Medicare Clinical Social Worker in Shoreview, MN