Jaclyn Stafford, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Caruthersville, Missouri. Her current practice location is
915 Highway 84 W, Caruthersville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 333-5875.
Jaclyn Stafford is licensed to practice in * (Not Available) (license number ) 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 1033718804.
Healthcare Provider's Profile
Full Name | Jaclyn Stafford |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 915 Highway 84 W, Caruthersville, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033718804
- Provider Enumeration Date: 10/22/2020
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092179663
- Enrollment ID: I20230914003303
Medical Identifiers
Medical identifiers for Jaclyn Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033718804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Stafford allows following entities to bill medicare on her behalf.
Entity Name | Family Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127 |
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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 Stafford 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 |
Jaclyn Stafford, LCSW 915 Highway 84 W, Caruthersville, MO 63830-8113 Ph: (573) 333-5875 | Jaclyn Stafford, LCSW 915 Highway 84 W, Caruthersville, MO 63830-8113 Ph: (573) 333-5875 |
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