Jessica Victoria Haack, LCSW in Chicago, IL - Medicare Clinical Social Worker Provider

Jessica Victoria Haack, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice The University Of Chicago Medical Center and her current practice location is 5841 S Maryland Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 795-5704.

Jessica Victoria Haack is licensed to practice in Illinois (license number 149.015290) 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 1134496045.

Contact Information

	Jessica Victoria Haack, LCSW
	5841 S Maryland Ave, Chicago, IL 60637-1443
	(773) 795-5704
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Victoria Haack
Gender	Female
Speciality	Clinical Social Worker
Experience	14 Years
Location	5841 S Maryland Ave, Chicago, Illinois
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:

Jessica Victoria Haack graduated from medical school in 2010

NPI Data:

NPI Number: 1134496045
Provider Enumeration Date: 11/20/2011
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 3678727930
Enrollment ID: I20130214000148

Medical Identifiers

Medical identifiers for Jessica Victoria Haack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134496045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.015290 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
The University Of Chicago Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The University Of Chicago Medical Center	7618880766	779

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. Jessica Victoria Haack allows following entities to bill medicare on her behalf.

Entity Name	University Of Chicago
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094

Entity Name	The University Of Chicago Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203

Entity Name	Kenneth Young Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629083241 PECOS PAC ID: 7416940655 Enrollment ID: O20041109000272

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. Jessica Victoria Haack 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
Jessica Victoria Haack, LCSW 1839 W Irving Park Rd Apt 4r, Chicago, IL 60613-2497 Ph: (847) 308-5668	Jessica Victoria Haack, LCSW 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (773) 795-5704

Reviews and Comments

Social Worker in Chicago, IL

Ms. Deborah Lee Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 W Peterson Ave, Chicago, IL 60659 Phone: 773-293-8437 Fax: 773-728-4751
Mrs. Melinda D Berry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8240 S Sacramento Ave, Chicago, IL 60652 Phone: 312-316-7977
Mr. Greg Rosen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1525 E 53rd St, #630, Chicago, IL 60615 Phone: 773-752-8808
Mrs. Imelda Gloria Ferreira, LCWS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4150 W. 55th Street, Chicago, IL 60632 Phone: 312-745-1566
Mr. John Anthony Knoerzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3850 W Sunnyside Ave, #304, Chicago, IL 60625 Phone: 773-234-1517
Aren M. Drehobl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5756 N Ridge Ave Ste 10, Chicago, IL 60660 Phone: 773-263-4168
Ms. Aviva Cahn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 N Michigan Ave, Suite 1801, Chicago, IL 60601 Phone: 773-301-8576

Jessica Victoria Haack, LCSW - Medicare Clinical Social Worker in Chicago, IL