Mr Dellkawaa Jacobs, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Ann Arbor, Michigan. His current practice location is
120 E Liberty St Ste 200, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 585-6966.
Mr Dellkawaa Jacobs is licensed to practice in Michigan (license number 6801109072) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508317538.
Healthcare Provider's Profile
Full Name | Mr Dellkawaa Jacobs |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 120 E Liberty St Ste 200, Ann Arbor, Michigan |
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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: 1508317538
- Provider Enumeration Date: 10/14/2016
- Last Update Date: 04/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052780483
- Enrollment ID: I20221207001521
Medical Identifiers
Medical identifiers for Mr Dellkawaa Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508317538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6801099473 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801109072 (Michigan) | 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. Mr Dellkawaa Jacobs allows following entities to bill medicare on his behalf.
Entity Name | Stephanie Williams, Phd, Lp, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740512979 PECOS PAC ID: 8527191535 Enrollment ID: O20100728000208 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220824000871 |
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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. Mr Dellkawaa 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 |
Mr Dellkawaa Jacobs, LMSW 120 E Liberty St Ste 200, Ann Arbor, MI 48104-2156 Ph: (734) 585-6966 | Mr Dellkawaa Jacobs, LMSW 120 E Liberty St Ste 200, Ann Arbor, MI 48104-2156 Ph: (734) 585-6966 |
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