Ms Jene Gould, LCSW-C, CCTP - Medicare Clinical Social Worker in Largo, MD

Ms Jene Gould, LCSW-C, CCTP is a medicare enrolled "Social Worker - Clinical" provider in Largo, Maryland. Her current practice location is 1401 Mercantile Ln Ste 485, Largo, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 615-1911.

Ms Jene Gould is licensed to practice in Maryland (license number 20126) 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 1114334893.

Contact Information

Ms Jene Gould, LCSW-C, CCTP
1401 Mercantile Ln Ste 485,
Largo, MD 20774-4301
(301) 615-1911
Not Available



Healthcare Provider's Profile

Full NameMs Jene Gould
GenderFemale
SpecialitySocial Worker - Clinical
Location1401 Mercantile Ln Ste 485, Largo, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114334893
  • Provider Enumeration Date: 07/15/2014
  • Last Update Date: 08/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4981967932
  • Enrollment ID: I20180404002615

Medical Identifiers

Medical identifiers for Ms Jene Gould such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114334893NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 20126 (Maryland)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 Jene Gould allows following entities to bill medicare on her behalf.
Entity NameNew Providence Healthcare Associates Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932592441
PECOS PAC ID: 6709178163
Enrollment ID: O20160706001195

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Entity NameMending Minds Wellness Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114584091
PECOS PAC ID: 6204166697
Enrollment ID: O20190927001168

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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 Jene Gould 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
Ms Jene Gould, LCSW-C, CCTP
1401 Mercantile Ln Ste 485,
Largo, MD 20774-4301

Ph: (301) 615-1911
Ms Jene Gould, LCSW-C, CCTP
1401 Mercantile Ln Ste 485,
Largo, MD 20774-4301

Ph: (301) 615-1911

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Social Worker in Largo, MD

Belinda E Boyer, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Mercantile Ln, Suite 232, Largo, MD 20774
Phone: 301-583-0001    Fax: 301-583-3403
Harvey Darnell Hamm, LCSW-C, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 9500 Arena Dr, 460-e, Largo, MD 20774
Phone: 240-601-9963    
Lisa Austin,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1330 Mccormick Dr, Largo, MD 20774
Phone: 301-773-3500    
Eugene Vanburch,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 9701 Apollo Dr Ste 100, Largo, MD 20774
Phone: 301-851-9965    
Shirelle Wright, LCSW-C
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1400 Mercantile Ln, Suite 260, Largo, MD 20774
Phone: 202-802-0859    
Ms. Wanda R Scott, LCSW-C
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Mercantile Ln, Suite 139-rr, Largo, MD 20774
Phone: 301-772-5300    

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