Jacqueline Ann Weydert, LISW is a medicare enrolled "Social Worker - Clinical" provider in Grinnell, Iowa. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Family Life Counseling And Psychological Services Llc and her current practice location is
200 4th Ave W, Grinnell, Iowa. You can reach out to her office (for appointments etc.) via phone at
(641) 236-6137.
Jacqueline Ann Weydert is licensed to practice in Iowa (license number 06609) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871752436.
Healthcare Provider's Profile
Full Name | Jacqueline Ann Weydert |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 19 Years |
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Location | 200 4th Ave W, Grinnell, Iowa |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jacqueline Ann Weydert graduated from medical school in 2005
NPI Data:
- NPI Number: 1871752436
- Provider Enumeration Date: 06/08/2008
- Last Update Date: 11/25/2008
Medicare PECOS Information:
- PECOS PAC ID: 7012072192
- Enrollment ID: I20170613001570
Medical Identifiers
Medical identifiers for Jacqueline Ann Weydert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871752436 | NPI | - | NPPES |
1871752436 | Medicaid | IA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 06609 (Iowa) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Family Life Counseling And Psychological Services Llc | 5496649022 | 5 |
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. Jacqueline Ann Weydert allows following entities to bill medicare on her behalf.
Entity Name | Family Life Counseling And Psychological Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851459473 PECOS PAC ID: 5496649022 Enrollment ID: O20040212000722 |
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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. Jacqueline Ann Weydert 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 |
Jacqueline Ann Weydert, LISW 200 4th Ave W, Grinnell, IA 50112-1833 Ph: (641) 236-6137 | Jacqueline Ann Weydert, LISW 200 4th Ave W, Grinnell, IA 50112-1833 Ph: (641) 236-6137 |
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