Christina Jeanne Jeffery Cackler, LCSW, MPH is a medicare enrolled "Social Worker - Clinical" provider in West Valley City, Utah. Her current practice location is
2830 S Redwood Rd Ste C, West Valley City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 213-2537.
Christina Jeanne Jeffery Cackler is licensed to practice in Utah (license number 10999106-3501) 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 1528515798.
Healthcare Provider's Profile
| Full Name | Christina Jeanne Jeffery Cackler |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2830 S Redwood Rd Ste C, West Valley City, Utah |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1528515798
- Provider Enumeration Date: 09/06/2016
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 2466888664
- Enrollment ID: I20200206002491
Medical Identifiers
Medical identifiers for Christina Jeanne Jeffery Cackler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528515798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW60571 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10999106-3501 (Utah) | 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. Christina Jeanne Jeffery Cackler allows following entities to bill medicare on her behalf.
| Entity Name | University Of Utah |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1588656870
PECOS PAC ID: 0749262665
Enrollment ID: O20050629000441 |
|---|
| Entity Name | University Of Utah Behavioral Health Services |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1740688613
PECOS PAC ID: 9537483607
Enrollment ID: O20150120001118 |
|---|
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. Christina Jeanne Jeffery Cackler 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 |
|---|
Christina Jeanne Jeffery Cackler, LCSW, MPH
2830 S Redwood Rd Ste C,
West Valley City, UT 84119-2381
Ph: (801) 213-2537 | Christina Jeanne Jeffery Cackler, LCSW, MPH
2830 S Redwood Rd Ste C,
West Valley City, UT 84119-2381
Ph: (801) 213-2537 |
Reviews and Comments