Ms Dee Jacobi-edwards, MED, LPTA, LCSW is a medicare enrolled "Social Worker - Clinical" provider in N Charleston, South Carolina. Her current practice location is
3300 W Montague Ave Ste 203, N Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 740-6999.
Ms Dee Jacobi-edwards is licensed to practice in South Carolina (license number 12955) 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 1174654198.
Healthcare Provider's Profile
| Full Name | Ms Dee Jacobi-edwards |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3300 W Montague Ave Ste 203, N Charleston, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174654198
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 04/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 7911255740
- Enrollment ID: I20190626000806
Medical Identifiers
Medical identifiers for Ms Dee Jacobi-edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174654198 | NPI | - | NPPES |
| 13955 | Other | SC | SOUTH CAROLINA BOARD OF SOCIAL WORK EXAMINERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 58863 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904011004 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | C012079 (North Carolina) | Secondary |
| 225200000X | Physical Therapy Assistant | 2794 (Massachusetts) | Secondary |
| 225200000X | Physical Therapy Assistant | 004753-1 (New York) | Secondary |
| 225200000X | Physical Therapy Assistant | 2057623 (Texas) | Secondary |
| 225C00000X | Rehabilitation Counselor | 00088976 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12955 (South 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. Ms Dee Jacobi-edwards allows following entities to bill medicare on her behalf.
| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20180531001919 |
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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. Ms Dee Jacobi-edwards 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 |
|---|
Ms Dee Jacobi-edwards, MED, LPTA, LCSW
313 Jamesbury Rd,
Charleston, SC 29492-7814
Ph: (972) 998-1980 | Ms Dee Jacobi-edwards, MED, LPTA, LCSW
3300 W Montague Ave Ste 203,
N Charleston, SC 29418-5907
Ph: (843) 740-6999 |
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