Dr Jacquelyn Summers, PHD, MPH, MSW in Coronado, CA

Dr Jacquelyn Summers, PHD, MPH, MSW is a medicare enrolled "Social Worker - Clinical" provider in Coronado, California. Her current practice location is 915 I Ave, Coronado, California. You can reach out to her office (for appointments etc.) via phone at (619) 446-9631.

Dr Jacquelyn Summers is licensed to practice in California (license number LCSW17167) 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 1104361203.

Contact Information

	Dr Jacquelyn Summers, PHD, MPH, MSW
	915 I Ave, Coronado, CA 92118-2449
	(619) 446-9631
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacquelyn Summers
Gender	Female
Speciality	Social Worker - Clinical
Location	915 I Ave, Coronado, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104361203
Provider Enumeration Date: 12/27/2016
Last Update Date: 12/28/2016

Medicare PECOS Information:

PECOS PAC ID: 0749652097
Enrollment ID: I20230214002278

Medical Identifiers

Medical identifiers for Dr Jacquelyn Summers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104361203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW17167 (California)	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. Dr Jacquelyn Summers allows following entities to bill medicare on her behalf.

Entity Name	Alo Ha Psychological Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770918674 PECOS PAC ID: 3476783978 Enrollment ID: O20140301000213

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. Dr Jacquelyn Summers 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
Dr Jacquelyn Summers, PHD, MPH, MSW Po Box 181171, Coronado, CA 92178-1171 Ph: (619) 446-9631	Dr Jacquelyn Summers, PHD, MPH, MSW 915 I Ave, Coronado, CA 92118-2449 Ph: (619) 446-9631

Reviews and Comments

Social Worker in Coronado, CA

Kathryn Laroe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 846 F Ave Apt A, Coronado, CA 92118 Phone: 619-881-7443
Mrs. Julia Heather Fitzpatrick, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 158 C Avenue, Coronado, CA 92118 Phone: 619-602-4598 Fax: 619-435-4501
Mrs. April Nicole Sorte Turville, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 138 B Ave, Coronado, CA 92118 Phone: 801-641-1055
Ms. Deanna Sue Petersen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1224 10th Street, Suite 206, Coronado, CA 92118 Phone: 619-437-4812 Fax: 619-437-1881

Dr Jacquelyn Summers, PHD, MPH, MSW - Medicare Clinical Social Worker in Coronado, CA