Ms Judy Michelle Jacobs, MLSW CCTP1 is a medicare enrolled "Social Worker - Clinical" provider in Manila, Arkansas. Her current practice location is
103 Bullard, Manila, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 484-0572.
Ms Judy Michelle Jacobs is licensed to practice in Arkansas (license number 9822-M) 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 1063045458.
Healthcare Provider's Profile
Full Name | Ms Judy Michelle Jacobs |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 103 Bullard, Manila, 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: 1063045458
- Provider Enumeration Date: 02/13/2020
- Last Update Date: 02/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 0244762672
- Enrollment ID: I20241010001096
Medical Identifiers
Medical identifiers for Ms Judy Michelle Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063045458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 9822-M (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. Ms Judy Michelle Jacobs allows following entities to bill medicare on her behalf.
Entity Name | Hope & Healing Of Nea Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881299675 PECOS PAC ID: 7012302300 Enrollment ID: O20220323002780 |
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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 Judy Michelle Jacobs 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 Judy Michelle Jacobs, MLSW CCTP1 103 Bullard, Manila, AR 72442-8216 Ph: (870) 484-0572 | Ms Judy Michelle Jacobs, MLSW CCTP1 103 Bullard, Manila, AR 72442-8216 Ph: (870) 484-0572 |
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