Jacob Eugene Jacquez, LCSW in Murray, UT - Medicare Social Worker Provider

Jacob Eugene Jacquez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Murray, Utah. His current practice location is 5814 S 900 E, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 800-3272.

Jacob Eugene Jacquez is licensed to practice in Utah (license number 7915180-3501) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841571353.

Contact Information

	Jacob Eugene Jacquez, LCSW
	5814 S 900 E, Murray, UT 84121-1644
	(385) 800-3272
	(385) 800-3260

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Eugene Jacquez
Gender	Male
Speciality	Social Worker - Clinical
Location	5814 S 900 E, Murray, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841571353
Provider Enumeration Date: 08/30/2011
Last Update Date: 07/16/2023

Medicare PECOS Information:

PECOS PAC ID: 8921238874
Enrollment ID: I20141215000176

Medical Identifiers

Medical identifiers for Jacob Eugene Jacquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841571353	NPI	-	NPPES
1025579	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-871 (Wyoming)	Secondary
1041C0700X	Social Worker - Clinical	0904013199 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	7915180-3501 (Utah)	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. Jacob Eugene Jacquez allows following entities to bill medicare on his behalf.

Entity Name	Empowering Relief Counseling, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548796931 PECOS PAC ID: 4688946601 Enrollment ID: O20170824003358

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. Jacob Eugene Jacquez 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
Jacob Eugene Jacquez, LCSW 5814 S 900 E, Murray, UT 84121-1644 Ph: (801) 548-9696	Jacob Eugene Jacquez, LCSW 5814 S 900 E, Murray, UT 84121-1644 Ph: (385) 800-3272

Reviews and Comments

Social Worker in Murray, UT

Mr. James Matthew Upton, LCSW, BCBA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4444 S 700 E Ste 203, Murray, UT 84107 Phone: 801-268-4887
Harrison Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5284 S Commerce Dr Ste C134, Murray, UT 84107 Phone: 801-266-4643 Fax: 801-266-4775
Shane D Adamson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 E 4500 S, F-200, Murray, UT 84107 Phone: 801-747-2300
Nancy M Hogarty Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5250 So Commerce Dr, Ste 250, Murray, UT 84107 Phone: 801-261-3500 Fax: 801-261-2111
Sevon Taroian, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 154 E Myrtle Ave Ste 204, Murray, UT 84107 Phone: 801-369-8989 Fax: 801-704-9741
Malisa May Lemon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5284 S Commerce Dr Ste C134, Murray, UT 84107 Phone: 801-266-4643
Sloane Rampton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4848 S Commerce Dr, Murray, UT 84107 Phone: 385-232-3484

Jacob Eugene Jacquez, LCSW - Medicare Clinical Social Worker in Murray, UT