Jacqueline Whiteman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hardin, Montana. Her current practice location is
1223 N Center Ave, Hardin, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 665-4103.
Jacqueline Whiteman is licensed to practice in Montana (license number BBH-LCSW-LIC-66548) 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 1255108445.
Healthcare Provider's Profile
Full Name | Jacqueline Whiteman |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1223 N Center Ave, Hardin, Montana |
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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: 1255108445
- Provider Enumeration Date: 12/07/2023
- Last Update Date: 02/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971946161
- Enrollment ID: I20240205001857
Medical Identifiers
Medical identifiers for Jacqueline Whiteman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255108445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-66548 (Montana) | 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 Whiteman allows following entities to bill medicare on her behalf.
Entity Name | Bighorn Valley Health Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255617130 PECOS PAC ID: 8820246077 Enrollment ID: O20120913000593 |
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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 Whiteman 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 Whiteman, LCSW 1223 N Center Ave, Hardin, MT 59034-1100 Ph: (406) 294-0044 | Jacqueline Whiteman, LCSW 1223 N Center Ave, Hardin, MT 59034-1100 Ph: (406) 665-4103 |
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