Mr Lukose Jacob, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lake Butler, Florida. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
7765 S County Road 231, Lake Butler, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 496-6000.
Mr Lukose Jacob is licensed to practice in Florida (license number SW11962) 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 1912046640.
Healthcare Provider's Profile
| Full Name | Mr Lukose Jacob |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 47 Years |
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| Location | 7765 S County Road 231, Lake Butler, 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 Lukose Jacob graduated from medical school in 1977
NPI Data:
- NPI Number: 1912046640
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698074789
- Enrollment ID: I20160425000007
Medical Identifiers
Medical identifiers for Mr Lukose Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912046640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | SW11962 (Florida) | 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 Lukose Jacob allows following entities to bill medicare on his behalf.
| Entity Name | North Florida Assessment And Counseling Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508978867
PECOS PAC ID: 8426235953
Enrollment ID: O20110608000767 |
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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 Lukose 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 |
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Mr Lukose Jacob, LCSW
7108 Sw 80th Ter Dept Of,
Gainesville, FL 32608-8412
Ph: (352) 327-0293 | Mr Lukose Jacob, LCSW
7765 S County Road 231,
Lake Butler, FL 32054-5721
Ph: (386) 496-6000 |
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