Suzette Jacob, MSW, LCSW in Kankakee, IL - Medicare Social Worker Provider

Suzette Jacob, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kankakee, Illinois. Her current practice location is 2212 W Grace St, Kankakee, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 258-1868.

Suzette Jacob is licensed to practice in Illinois (license number 149018593) 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 1962092981.

Contact Information

	Suzette Jacob, MSW, LCSW
	2212 W Grace St, Kankakee, IL 60901-4591
	(815) 258-1868
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Suzette Jacob
Gender	Female
Speciality	Social Worker - Clinical
Location	2212 W Grace St, Kankakee, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962092981
Provider Enumeration Date: 01/23/2021
Last Update Date: 01/23/2021

Medicare PECOS Information:

PECOS PAC ID: 0345695235
Enrollment ID: I20231012002316

Medical Identifiers

Medical identifiers for Suzette Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962092981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149018593 (Illinois)	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. Suzette Jacob allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

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. Suzette Jacob 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
Suzette Jacob, MSW, LCSW 2212 W Grace St, Kankakee, IL 60901-4591 Ph: (815) 258-1868	Suzette Jacob, MSW, LCSW 2212 W Grace St, Kankakee, IL 60901-4591 Ph: (815) 258-1868

Reviews and Comments

Social Worker in Kankakee, IL

Mrs. Sarah Elizabeth Wroblewski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 S Small Ave, Kankakee, IL 60901 Phone: 815-954-7589
Ms. Heather Marie Spina, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1905 W Court St, Kankakee, IL 60901 Phone: 815-933-2240
Patrick Rossi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 N 5620w Rd, Kankakee, IL 60901 Phone: 630-849-5665
Brianne Ar Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 213 E Court St Ste 217, Kankakee, IL 60901 Phone: 815-641-9630
Ms. Julene S. Bowley-vogen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1905 W Court St, Kankakee, IL 60901 Phone: 815-933-2240
Mr. Peter Douglas Lamotte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 S Yates Ave, Kankakee, IL 60901 Phone: 815-830-9055
Mrs. Lyda Shamblin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 S Small Ave, Kankakee, IL 60901 Phone: 815-932-4700 Fax: 815-932-5734

Suzette Jacob, MSW, LCSW - Medicare Clinical Social Worker in Kankakee, IL