Harry Christian Jakobson Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chico, California. His current practice location is
1428 Dartwood Dr, Chico, California. You can reach out to his office (for appointments etc.) via phone at
(530) 487-1366.
Harry Christian Jakobson Jr is licensed to practice in California (license number 72495) 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 1750662854.
Healthcare Provider's Profile
| Full Name | Harry Christian Jakobson Jr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1428 Dartwood Dr, Chico, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750662854
- Provider Enumeration Date: 09/01/2011
- Last Update Date: 08/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597130096
- Enrollment ID: I20230414002311
Medical Identifiers
Medical identifiers for Harry Christian Jakobson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750662854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 72495 (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. Harry Christian Jakobson Jr allows following entities to bill medicare on his behalf.
| Entity Name | Adventist Health Clearlake Hospital Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124018031
PECOS PAC ID: 3072421197
Enrollment ID: O20041112000573 |
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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. Harry Christian Jakobson Jr 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 |
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Harry Christian Jakobson Jr, LCSW
1428 Dartwood Dr,
Chico, CA 95926-7150
Ph: (530) 440-2716 | Harry Christian Jakobson Jr, LCSW
1428 Dartwood Dr,
Chico, CA 95926-7150
Ph: (530) 487-1366 |
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