Ms Jacqueline Nashelle Lockett, LISW is a medicare enrolled "Clinic/center - Mental Health (including Community Mental Health Center)" provider in Willoughby, Ohio. Her current practice location is
35104 Euclid Ave Ste 306, Willoughby, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 387-1759.
Ms Jacqueline Nashelle Lockett is licensed to practice in Ohio (license number I.2102892) 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 1497255343.
Healthcare Provider's Profile
| Full Name | Ms Jacqueline Nashelle Lockett |
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| Gender | Female |
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| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
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| Location | 35104 Euclid Ave Ste 306, Willoughby, Ohio |
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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: 1497255343
- Provider Enumeration Date: 02/16/2018
- Last Update Date: 10/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123448578
- Enrollment ID: I20210902001452
Medical Identifiers
Medical identifiers for Ms Jacqueline Nashelle Lockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497255343 | NPI | - | NPPES |
| 0268275 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | S.1302602 (Ohio) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | I.2102892 (Ohio) | 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 Jacqueline Nashelle Lockett allows following entities to bill medicare on her behalf.
| Entity Name | Phoenix Counseling And Wellness, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154932473
PECOS PAC ID: 4587060397
Enrollment ID: O20210902001247 |
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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 Jacqueline Nashelle Lockett 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 Jacqueline Nashelle Lockett, LISW
35104 Euclid Ave Ste 306,
Willoughby, OH 44094-4566
Ph: (440) 571-5009 | Ms Jacqueline Nashelle Lockett, LISW
35104 Euclid Ave Ste 306,
Willoughby, OH 44094-4566
Ph: (216) 387-1759 |
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