Jackelin Chavez Rueda, is a medicare enrolled "Social Worker - Clinical" provider in Lodi, California. Her current practice location is
1920 Tienda Dr. #101, Lodi, California. You can reach out to her office (for appointments etc.) via phone at
(209) 647-0398.
Jackelin Chavez Rueda is licensed to practice in * (Not Available) (license number ) 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 1376962308.
Healthcare Provider's Profile
Full Name | Jackelin Chavez Rueda |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1920 Tienda Dr. #101, Lodi, 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: 1376962308
- Provider Enumeration Date: 04/07/2014
- Last Update Date: 11/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315470648
- Enrollment ID: I20241024004682
Medical Identifiers
Medical identifiers for Jackelin Chavez Rueda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376962308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Jackelin Chavez Rueda allows following entities to bill medicare on her behalf.
Entity Name | County Of San Joaquin |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095 |
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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. Jackelin Chavez Rueda 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 |
Jackelin Chavez Rueda, P.o. Box 6779, Stockton, CA 95206 Ph: (209) 368-2532 | Jackelin Chavez Rueda, 1920 Tienda Dr. #101, Lodi, CA 95242 Ph: (209) 647-0398 |
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