Mr Jesse Ray Cobb, LCSW in Fruitland, ID - Medicare Social Worker Provider

Mr Jesse Ray Cobb, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fruitland, Idaho. His current practice location is 1210 Nw 16th St, Fruitland, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 452-8600.

Mr Jesse Ray Cobb is licensed to practice in Idaho (license number LCSW-30921) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083001630.

Contact Information

	Mr Jesse Ray Cobb, LCSW
	1210 Nw 16th St, Fruitland, ID 83619-2202
	(208) 452-8600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jesse Ray Cobb
Gender	Male
Speciality	Social Worker - Clinical
Location	1210 Nw 16th St, Fruitland, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083001630
Provider Enumeration Date: 04/21/2015
Last Update Date: 04/21/2015

Medicare PECOS Information:

PECOS PAC ID: 9830406552
Enrollment ID: I20150914000817

Medical Identifiers

Medical identifiers for Mr Jesse Ray Cobb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083001630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-30921 (Idaho)	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. Mr Jesse Ray Cobb allows following entities to bill medicare on his behalf.

Entity Name	Lifeways Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568558955 PECOS PAC ID: 4183696214 Enrollment ID: O20140410000839

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 Jesse Ray Cobb 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
Mr Jesse Ray Cobb, LCSW 1210 Nw 16th St, Fruitland, ID 83619-2202 Ph: (208) 452-8600	Mr Jesse Ray Cobb, LCSW 1210 Nw 16th St, Fruitland, ID 83619-2202 Ph: (208) 452-8600

Reviews and Comments

Social Worker in Fruitland, ID

Amy Beitia, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 Magnolia Ave, Fruitland, ID 83619 Phone: 208-250-7059
Mrs. Becky Jean Wolery, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 Fax: 208-452-8055
Ms. Lisa Marie Tovar, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8700 Fax: 208-452-8701
Cami Lynn Blackburn, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1118 Nw 16th St Ste D, Fruitland, ID 83619 Phone: 208-452-7677
Mrs. Frankie Diane Larsen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7665 Custer Rd, Fruitland, ID 83619 Phone: 208-271-9362 Fax: 208-271-9262

Mr Jesse Ray Cobb, LCSW - Medicare Clinical Social Worker in Fruitland, ID