Tehnijah L Jake, is a medicare enrolled "Social Worker - Clinical" provider in Tsaile, Arizona. Her current practice location is
Navajo Route 12 & 64, Tsaile, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 724-3714.
Tehnijah L Jake is licensed to practice in New Mexico (license number C-11202) 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 1073704771.
Healthcare Provider's Profile
Full Name | Tehnijah L Jake |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | Navajo Route 12 & 64, Tsaile, Arizona |
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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: 1073704771
- Provider Enumeration Date: 08/07/2007
- Last Update Date: 01/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204198104
- Enrollment ID: I20240517002718
Medical Identifiers
Medical identifiers for Tehnijah L Jake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073704771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C-11202 (New Mexico) | Primary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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. Tehnijah L Jake allows following entities to bill medicare on her behalf.
Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
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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. Tehnijah L Jake 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 |
Tehnijah L Jake, Po Box Ph, Chinle, AZ 86503-8000 Ph: (928) 674-7166 | Tehnijah L Jake, Navajo Route 12 & 64, Tsaile, AZ 86556 Ph: (928) 724-3714 |
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