Jacob James Fox, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Phoenix, Arizona. His current practice location is
1919 E Thomas Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 933-1000.
Jacob James Fox is licensed to practice in Arizona (license number LCSW-21769) 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 1376895482.
Healthcare Provider's Profile
Full Name | Jacob James Fox |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1919 E Thomas Rd, Phoenix, Arizona |
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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: 1376895482
- Provider Enumeration Date: 10/12/2012
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153776323
- Enrollment ID: I20231006002927
Medical Identifiers
Medical identifiers for Jacob James Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376895482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-21769 (Arizona) | 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. Jacob James Fox allows following entities to bill medicare on his behalf.
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
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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. Jacob James Fox 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 |
Jacob James Fox, LCSW 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124 | Jacob James Fox, LCSW 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-1000 |
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