Mark Jacob, LCSW in Decatur, AL - Medicare Clinical Social Worker Provider

Mark Jacob, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Decatur, Alabama. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Covenant Counseling And Consulting Llc and his current practice location is 251 Johnston St Se Ste 100, Decatur, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 822-2375.

Mark Jacob is licensed to practice in Alabama (license number 1081C) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245285295.

Contact Information

	Mark Jacob, LCSW
	251 Johnston St Se Ste 100, Decatur, AL 35601-2515
	(256) 822-2375
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Jacob
Gender	Male
Speciality	Clinical Social Worker
Experience	32 Years
Location	251 Johnston St Se Ste 100, Decatur, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Jacob graduated from medical school in 1992

NPI Data:

NPI Number: 1245285295
Provider Enumeration Date: 05/24/2006
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 2668401506
Enrollment ID: I20050810000942

Medical Identifiers

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

Identifier	Type	State	Issuer
1245285295	NPI	-	NPPES
51522567	Other	AL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1081C (Alabama)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Covenant Counseling And Consulting Llc	2769789551	13

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. Mark Jacob allows following entities to bill medicare on his behalf.

Entity Name	Covenant Counseling & Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295111557 PECOS PAC ID: 2769789551 Enrollment ID: O20160322001395

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. Mark Jacob 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
Mark Jacob, LCSW 16 Moulton St E, Decatur, AL 35601-2310 Ph: (256) 822-2375	Mark Jacob, LCSW 251 Johnston St Se Ste 100, Decatur, AL 35601-2515 Ph: (256) 822-2375

Reviews and Comments

Social Worker in Decatur, AL

Keri Jane Sebesta, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Mental Health Center Of North Central Al Inc., 4110 Us Highway 31 S, Decatur, AL 35603 Phone: 256-260-7360 Fax: 256-355-6092
Candace E Guthery, LICSW, PIP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16 Moulton St E, Decatur, AL 35601 Phone: 256-822-2375
Mrs. Whitney Anne Parr, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Church St Ne Ste 6, Decatur, AL 35601 Phone: 256-274-8222
Nancy M Reale, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4110 Us Highway 31 S, Decatur, AL 35603 Phone: 256-355-6105
Ms. Lisa S Coleman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4110 Highway 31 South, Decatur, AL 35601 Phone: 256-355-6105
Angela Mcclintock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Church St Ne Ste 9, Decatur, AL 35601 Phone: 256-274-8222
Cathy Annette George, MS Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4110 Highway 31 South, Decatur, AL 35603 Phone: 256-355-6105

Mark Jacob, LCSW - Medicare Clinical Social Worker in Decatur, AL