Jacqueline Carr, LISW in Defiance, OH - Medicare Social Worker Provider

Jacqueline Carr, LISW is a medicare enrolled "Social Worker - Clinical" provider in Defiance, Ohio. Her current practice location is 511 Perry St, Defiance, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 782-9920.

Jacqueline Carr is licensed to practice in Ohio (license number I8314) 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 1003029968.

Contact Information

	Jacqueline Carr, LISW
	511 Perry St, Defiance, OH 43512-2123
	(419) 782-9920
	(419) 784-2523

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Carr
Gender	Female
Speciality	Social Worker - Clinical
Location	511 Perry St, Defiance, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003029968
Provider Enumeration Date: 05/08/2007
Last Update Date: 03/16/2016

Medicare PECOS Information:

PECOS PAC ID: 9537131602
Enrollment ID: I20040809001476

Medical Identifiers

Medical identifiers for Jacqueline Carr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003029968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I8314 (Ohio)	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. Jacqueline Carr allows following entities to bill medicare on her behalf.

Entity Name	Foundations Behavioral Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336118330 PECOS PAC ID: 0143204172 Enrollment ID: O20040616000829

Entity Name	Recovery Services Of Northwest Ohio Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720046451 PECOS PAC ID: 7113221508 Enrollment ID: O20160204001858

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 Carr 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 Carr, LISW 511 Perry St, Defiance, OH 43512-2123 Ph: (419) 782-9920	Jacqueline Carr, LISW 511 Perry St, Defiance, OH 43512-2123 Ph: (419) 782-9920

Reviews and Comments

Social Worker in Defiance, OH

Anne Mallett, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 201 E 2nd St, Defiance, OH 43512 Phone: 440-260-8300 Fax: 440-260-8575
Lucila A. Moreno, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-783-6955 Fax: 419-291-6436
Tamara Lynn Junge, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1252 Ralston Avenue, #401, Defiance, OH 43512 Phone: 419-783-6805 Fax: 419-783-6804
Craig W Parliment, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1018 Ralston Ave, Defiance, OH 43512 Phone: 419-567-2138 Fax: 419-225-8878
Sharon Rene Schlater, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1450 S Clinton St, Defiance, OH 43512 Phone: 419-784-3502 Fax: 419-784-3502
Sarah J Claridge, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 Fax: 419-784-2523

Jacqueline Carr, LISW - Medicare Clinical Social Worker in Defiance, OH