MS. JILL D. HILBURGER LCSWR
NPI 1861408684
Social Worker in West Seneca, NY

NPI Status: Active since August 01, 2006

Contact Information

4184 SENECA ST
STE 208
WEST SENECA, NY
ZIP 14224
Phone: (716) 867-7070
Fax: (716) 832-3178

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  • Individual
  • Female
  • Years of Experience 35
  • Social Worker
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JILL HILBURGER

This page provides the complete NPI Profile along with additional information for Jill Hilburger, a provider established in West Seneca, New York with a medical specialization in Social Worker and more than 35 years of experience. The healthcare provider is registered in the NPI registry with number 1861408684 assigned on August 2006. The practitioner's primary taxonomy code is 104100000X with license number 043302 (NY). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1861408684
Provider Name
MS. JILL D. HILBURGER LCSWR
Gender
Female
Entity Type
Individual
Location Address
4184 SENECA ST STE 208 WEST SENECA, NY 14224
Location Phone
(716) 867-7070
Location Fax
(716) 832-3178
Mailing Address
205 MARJORIE DR BUFFALO, NY 14223
Mailing Phone
(716) 832-3132
Mailing Fax
(716) 832-3178
Medical School Name
OTHER
Graduation Year
1991
Is Sole Proprietor?
Yes
Enumeration Date
08-01-2006
Last Update Date
07-11-2017
Code Navigator

A social worker like Jill Hilburger helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
043302
License State
NY
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
R54685MEDICARE UPIN (02)NY 
11520LMEDICARE ID-TYPE UNSPECIFIED (04)NY 
000525106001OTHER (01)NYCOMMUNITY BLUE
00030241501OTHER (01)NYUNIVERA

Medicare Participation & PECOS Enrollment Status

Jill Hilburger is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jill Hilburger is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9830461813

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20170825002085

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. JILL D. HILBURGER LCSWR

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861408684, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 8 + 0 + 1 + 6 + 6 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1861408684.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
4184 SENECA ST, SUITE 208
WEST SENECA, NY 14224
Social Worker (Clinical)
4184 SENECA ST, SUITE 208
WEST SENECA, NY 14224
Physical Therapist (Hand)
4184 SENECA ST, SUITE 211
WEST SENECA, NY 14224
Social Worker (Clinical)
4184 SENECA ST, SUITE 208
WEST SENECA, NY 14224
Social Worker
4184 SENECA ST, SUITE 207
WEST SENECA, NY 14224
Podiatrist (Foot Surgery)
4184 SENECA ST, STE 203
WEST SENECA, NY 14224
Chiropractor
4184 SENECA ST
WEST SENECA, NY 14224
Chiropractor
4184 SENECA ST
WEST SENECA, NY 14224
Social Worker (Clinical)
4184 SENECA ST, SUITE 207
WEST SENECA, NY 14224
Prosthetic/Orthotic Supplier
4184 SENECA ST, SUITE 211
WEST SENECA, NY 14224
Counselor (Mental Health)
4184 SENECA ST, SUITE 208
WEST SENECA, NY 14224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861408684, enumerated as an "individual" on August 01, 2006.

The provider is located at 4184 SENECA ST STE 208 WEST SENECA, NY 14224 and the phone number is (716) 867-7070.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.