Mr James Jackson Freeland Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Callahan, Florida. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Diana Wright Psy D Llc and his current practice location is
54086 Dornbush Rd, Callahan, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 879-6264.
Mr James Jackson Freeland Jr is licensed to practice in Florida (license number 3397) 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 1467464289.
Healthcare Provider's Profile
| Full Name | Mr James Jackson Freeland Jr |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 34 Years |
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| Location | 54086 Dornbush Rd, Callahan, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr James Jackson Freeland Jr graduated from medical school in 1990
NPI Data:
- NPI Number: 1467464289
- Provider Enumeration Date: 08/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5991973281
- Enrollment ID: I20150923003264
Medical Identifiers
Medical identifiers for Mr James Jackson Freeland Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467464289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 3397 (Florida) | Primary |
| 1041C0700X | Social Worker - Clinical | 20239 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Diana Wright Psy D Llc | 7113263971 | 15 |
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. Mr James Jackson Freeland Jr allows following entities to bill medicare on his behalf.
| Entity Name | Diana Wright Psy D Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780181248
PECOS PAC ID: 7113263971
Enrollment ID: O20190115002926 |
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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. Mr James Jackson Freeland Jr 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 |
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Mr James Jackson Freeland Jr, LCSW
54086 Dornbush Rd,
Callahan, FL 32011-5919
Ph: (904) 879-6264 | Mr James Jackson Freeland Jr, LCSW
54086 Dornbush Rd,
Callahan, FL 32011-5919
Ph: (904) 879-6264 |
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