Dana Dayle Jessup, LSCSW is a medicare enrolled "Social Worker - Clinical" provider in Mc Louth, Kansas. Her current practice location is
17821 78th St, Mc Louth, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 742-7113.
Dana Dayle Jessup is licensed to practice in Kansas (license number 3142) 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 1508890146.
Healthcare Provider's Profile
Full Name | Dana Dayle Jessup |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 17821 78th St, Mc Louth, Kansas |
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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: 1508890146
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 02/14/2017
Medicare PECOS Information:
- PECOS PAC ID: 9830155811
- Enrollment ID: I20041202000315
Medical Identifiers
Medical identifiers for Dana Dayle Jessup such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508890146 | NPI | - | NPPES |
100097950B | Medicaid | KS | |
100097950A | Medicaid | KS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Kansas) | Secondary |
1041C0700X | Social Worker - Clinical | 3142 (Kansas) | Primary |
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. Dana Dayle Jessup 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 |
Dana Dayle Jessup, LSCSW 17821 78th St, Mc Louth, KS 66054-5091 Ph: (785) 742-7113 | Dana Dayle Jessup, LSCSW 17821 78th St, Mc Louth, KS 66054-5091 Ph: (785) 742-7113 |
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