Andrea Cabrera Jakucs, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
515 Columbia Ave # 200, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(213) 249-9388.
Andrea Cabrera Jakucs is licensed to practice in California (license number 97252) 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 1114475191.
Healthcare Provider's Profile
Full Name | Andrea Cabrera Jakucs |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 515 Columbia Ave # 200, Los Angeles, California |
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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: 1114475191
- Provider Enumeration Date: 09/19/2016
- Last Update Date: 10/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 8224447073
- Enrollment ID: I20210506001397
Medical Identifiers
Medical identifiers for Andrea Cabrera Jakucs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114475191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 77256 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 97252 (California) | 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. Andrea Cabrera Jakucs allows following entities to bill medicare on her behalf.
Entity Name | Special Service For Groups |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952442949 PECOS PAC ID: 2769396886 Enrollment ID: O20031113000561 |
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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. Andrea Cabrera Jakucs 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 |
Andrea Cabrera Jakucs, 515 Columbia Ave # 200, Los Angeles, CA 90017-1209 Ph: (213) 249-9388 | Andrea Cabrera Jakucs, 515 Columbia Ave # 200, Los Angeles, CA 90017-1209 Ph: (213) 249-9388 |
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