Jacklyn Coburger, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Piscataway, New Jersey. She graduated from healthcare school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Hamilton Behavioral Md Pa and her current practice location is
432 Baldwin St, Piscataway, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 586-9550.
Jacklyn Coburger is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932500683.
Healthcare Provider's Profile
| Full Name | Jacklyn Coburger |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 432 Baldwin St, Piscataway, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacklyn Coburger graduated from medical school in 2015
NPI Data:
- NPI Number: 1932500683
- Provider Enumeration Date: 09/12/2014
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496098998
- Enrollment ID: I20190524002197
Medical Identifiers
Medical identifiers for Jacklyn Coburger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932500683 | NPI | - | NPPES |
| 0023701 | Medicaid | NJ | |
| 7797403 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hamilton Behavioral Md Pa | 8426294216 | 15 |
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. Jacklyn Coburger allows following entities to bill medicare on her behalf.
| Entity Name | Senior Care Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285898098
PECOS PAC ID: 0547335366
Enrollment ID: O20080813000563 |
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| Entity Name | Hamilton Behavioral Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548500408
PECOS PAC ID: 8426294216
Enrollment ID: O20130424000314 |
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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. Jacklyn Coburger 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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Jacklyn Coburger, LCSW
432 Baldwin St,
Piscataway, NJ 08854-2335
Ph: (732) 586-9550 | Jacklyn Coburger, LCSW
432 Baldwin St,
Piscataway, NJ 08854-2335
Ph: (732) 586-9550 |
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