Jacob Reese, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. His current practice location is
11211 Se 82nd Ave Ste 0, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 722-6200.
Jacob Reese is licensed to practice in Oregon (license number L8065) 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 1346612652.
Healthcare Provider's Profile
Full Name | Jacob Reese |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 11211 Se 82nd Ave Ste 0, Portland, Oregon |
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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: 1346612652
- Provider Enumeration Date: 10/26/2015
- Last Update Date: 07/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 7113253089
- Enrollment ID: I20190730003288
Medical Identifiers
Medical identifiers for Jacob Reese such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346612652 | NPI | - | NPPES |
500710078 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L8065 (Oregon) | 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 Reese allows following entities to bill medicare on his behalf.
Entity Name | Clackamas County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841443587 PECOS PAC ID: 9537065560 Enrollment ID: O20031210000827 |
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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 Reese 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 Reese, LCSW Po Box 8459, Portland, OR 97207-8459 Ph: () - | Jacob Reese, LCSW 11211 Se 82nd Ave Ste 0, Portland, OR 97086-7641 Ph: (503) 722-6200 |
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