Tracy Michelle Jacobs, in Oregon, IL - Medicare Clinical Social Worker Provider

Tracy Michelle Jacobs, is a medicare enrolled "Social Worker - Clinical" provider in Oregon, Illinois. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Deer Oaks Mid West Llc and her current practice location is 1658 S Il Route 2, Oregon, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 732-2499.

Tracy Michelle Jacobs is licensed to practice in Illinois (license number 149.021732) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1023655750.

Contact Information

	Tracy Michelle Jacobs,
	1658 S Il Route 2, Oregon, IL 61061-9514
	(815) 732-2499
	(815) 732-6077

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Michelle Jacobs
Gender	Female
Speciality	Clinical Social Worker
Experience	13 Years
Location	1658 S Il Route 2, Oregon, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tracy Michelle Jacobs graduated from medical school in 2011

NPI Data:

NPI Number: 1023655750
Provider Enumeration Date: 12/02/2019
Last Update Date: 12/10/2020

Medicare PECOS Information:

PECOS PAC ID: 5890109573
Enrollment ID: I20210121001332

Medical Identifiers

Medical identifiers for Tracy Michelle Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023655750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.021732 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deer Oaks Mid West Llc	2264762681	13

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. Tracy Michelle Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Serenity Hospice And Home
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184661100 PECOS PAC ID: 7214088954 Enrollment ID: O20171120000762

Entity Name	Deer Oaks Mid West Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974

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. Tracy 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
Tracy Michelle Jacobs, 507 N 5th St, Oregon, IL 61061-1203 Ph: (815) 262-4856	Tracy Michelle Jacobs, 1658 S Il Route 2, Oregon, IL 61061-9514 Ph: (815) 732-2499

Reviews and Comments

Social Worker in Oregon, IL

Mary Snyder, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 S 4th St, Oregon, IL 61061 Phone: 815-732-3157
Mrs. Julie A Wythe, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 412 W Washington St Ste 6, Oregon, IL 61061 Phone: 815-988-9899
Ms. Amanda Bordner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W Washington St Ste 201c, Oregon, IL 61061 Phone: 815-973-1805
Raissa Baxter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1658 S Il Route 2, Oregon, IL 61061 Phone: 815-732-2499 Fax: 815-732-6077
Dawn Henderson Meyer, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Washington Street, Suite 202, Oregon, IL 61061 Phone: 815-298-9470
Jamie Lynn Houseman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 121 S 4th St, Oregon, IL 61061 Phone: 815-501-2088

Tracy Michelle Jacobs, - Medicare Clinical Social Worker in Oregon, IL