MS. JILLIAN FENTON MSW, LICSW
Accepted Insurance for NPI 1083665921
Social Worker - Clinical in Portsmouth, RI

Q: What managed care network types are accepted by this provider?

MS. JILLIAN FENTON MSW, LICSW is enrolled across the following managed care network types: EPO, HMO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.

NPI Status: Active since May 15, 2006

Contact Information

11 KING CHARLES DR
SUITE A
PORTSMOUTH, RI
ZIP 02871
Phone: (401) 683-2555

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with MS. JILLIAN FENTON MSW, LICSW, a practicing social worker professional in Portsmouth, RI. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 20 individual coverage options managed by medical networks, including networks like Harvard Pilgrim Health Care, and Providence Health Plan. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

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Harvard Pilgrim Health Care

NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

59025NH0370109

NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

59025NH0370103

NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

59025NH0370104

NH Local Choice HMO HSA Bronze 6000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

59025NH0370102

NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

59025NH0370106

NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

59025NH0370107

NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370100

NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370098

NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370099

Providence Health Plan

Connect 1500 Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380008

Connect 6000 Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380013

Connect 9800 Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380014

HSA Qualified 7500 Bronze - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1420003

HSA-E Qualified 7500 Bronze - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1430003

Providence Oregon Standard Bronze Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1400003

Providence Oregon Standard Bronze Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1410003

Providence Oregon Standard Gold Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1320004

Providence Oregon Standard Gold Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1350004

Providence Oregon Standard Silver Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1330004

Providence Oregon Standard Silver Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1360004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does MS. JILLIAN FENTON MSW, LICSW accept?

This provider accepts health insurance plans managed by the following insurance companies: Harvard Pilgrim Health Care, Providence Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

MS. JILLIAN FENTON MSW, LICSW is enrolled across the following managed care network types: EPO, HMO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.