Mrs Jackie Suzanne Day, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gravette, Arkansas. Her current practice location is
1101 Jackson St Sw, Gravette, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 787-5221.
Mrs Jackie Suzanne Day is licensed to practice in Arkansas (license number 3995-C) 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 1720312416.
Healthcare Provider's Profile
Full Name | Mrs Jackie Suzanne Day |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1101 Jackson St Sw, Gravette, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720312416
- Provider Enumeration Date: 09/28/2009
- Last Update Date: 08/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597203455
- Enrollment ID: I20240812000017
Medical Identifiers
Medical identifiers for Mrs Jackie Suzanne Day such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720312416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 3995-C (Arkansas) | 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 Jackie Suzanne Day allows following entities to bill medicare on her behalf.
Entity Name | Sgoh Acquisition Inc |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
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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. Mrs Jackie Suzanne Day 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 Jackie Suzanne Day, LCSW 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221 | Mrs Jackie Suzanne Day, LCSW 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221 |
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