Mrs Gretchen Jacox, LCSW-P in Charlotte, NC - Medicare Social Worker Provider

Mrs Gretchen Jacox, LCSW-P is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. Her current practice location is 1718 E 4th St Ste 907, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 372-4000.

Mrs Gretchen Jacox is licensed to practice in North Carolina (license number C007691) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760764500.

Contact Information

	Mrs Gretchen Jacox, LCSW-P
	1718 E 4th St Ste 907, Charlotte, NC 28204-3282
	(704) 372-4000
	(704) 334-4855

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Gretchen Jacox
Gender	Female
Speciality	Social Worker - Clinical
Location	1718 E 4th St Ste 907, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760764500
Provider Enumeration Date: 09/19/2011
Last Update Date: 10/26/2020

Medicare PECOS Information:

PECOS PAC ID: 8628217569
Enrollment ID: I20130625000485

Medical Identifiers

Medical identifiers for Mrs Gretchen Jacox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760764500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P005509 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	C007691 (North Carolina)	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. Mrs Gretchen Jacox allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Triad Adult And Pediatric Medicine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598762940 PECOS PAC ID: 1850311986 Enrollment ID: O20051202000722

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. Mrs Gretchen Jacox 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
Mrs Gretchen Jacox, LCSW-P Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 372-4000	Mrs Gretchen Jacox, LCSW-P 1718 E 4th St Ste 907, Charlotte, NC 28204-3282 Ph: (704) 372-4000

Reviews and Comments

Social Worker in Charlotte, NC

Ms. Latonya Latrice Pompey, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5633 Monroe Rd, Suite D, Charlotte, NC 28212 Phone: 843-356-0719
Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526
Melissa Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Springbank Ln, Suite G, Charlotte, NC 28226 Phone: 980-288-8595

Mrs Gretchen Jacox, LCSW-P - Medicare Clinical Social Worker in Charlotte, NC