Jaclyn Nina Geitner, LCSW - Medicare Clinical Social Worker in Appleton, WI

Jaclyn Nina Geitner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Appleton, Wisconsin. Her current practice location is 424 E Longview Dr Ste A, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 234-9240.

Jaclyn Nina Geitner is licensed to practice in Wisconsin (license number 8509-123) 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 1629352844.

Contact Information

Jaclyn Nina Geitner, LCSW
424 E Longview Dr Ste A,
Appleton, WI 54911
(920) 234-9240
(920) 335-0014



Healthcare Provider's Profile

Full NameJaclyn Nina Geitner
GenderFemale
SpecialitySocial Worker - Clinical
Location424 E Longview Dr Ste A, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629352844
  • Provider Enumeration Date: 10/06/2011
  • Last Update Date: 09/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9638432560
  • Enrollment ID: I20180406000635

Medical Identifiers

Medical identifiers for Jaclyn Nina Geitner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629352844NPI-NPPES
100033143MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 8509-123 (Wisconsin)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. Jaclyn Nina Geitner allows following entities to bill medicare on her behalf.
Entity NameJng Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215436258
PECOS PAC ID: 8729341656
Enrollment ID: O20180406000520

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Entity NameCcp Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396431714
PECOS PAC ID: 7214394022
Enrollment ID: O20230609002780

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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. Jaclyn Nina Geitner 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 AddressPractice Location Address
Jaclyn Nina Geitner, LCSW
424 E Longview Dr Ste A,
Appleton, WI 54911-2167

Ph: () -
Jaclyn Nina Geitner, LCSW
424 E Longview Dr Ste A,
Appleton, WI 54911

Ph: (920) 234-9240

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Social Worker in Appleton, WI

Marissa A Mielke,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 14 Tri Park Way Bldg 2, Appleton, WI 54914
Phone: 920-809-4125    
Ms. Suzan L. Myhre, MSSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3301 N Ballard Rd Ste C, Appleton, WI 54911
Phone: 920-202-3954    Fax: 920-202-3964
Ms. Michelle Kennedy Coenen, MS
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1531 S Madison St, Ste 550, Appleton, WI 54915
Phone: 920-738-2700    Fax: 920-738-8051
Mrs. Katherine Anne Chaganos, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 320 S Walnut St, Appleton, WI 54911
Phone: 920-832-5270    Fax: 920-832-4767
Ms. Kim S Charniak, LCSW
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 444 N Westhill Blvd, Appleton, WI 54914
Phone: 920-750-7000    Fax: 920-364-2451
Ms. Pakou Thao, APSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 119 N Mccarthy Rd Ste P, Appleton, WI 54913
Phone: 920-903-1060    Fax: 920-903-1164
Amie Nicole Towne, LMSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 330 W College Ave Ste 303, Appleton, WI 54911
Phone: 617-379-0496    

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