Jacqueline C Malone, LCSW is a medicare enrolled "Social Worker" provider in St Petersburg, Florida. Her current practice location is
100 5th Ave S, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 873-4848.
Jacqueline C Malone is licensed to practice in Florida (license number SW 620) 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 1417378332.
Healthcare Provider's Profile
| Full Name | Jacqueline C Malone |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 100 5th Ave S, St Petersburg, Florida |
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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: 1417378332
- Provider Enumeration Date: 12/19/2013
- Last Update Date: 01/11/2017
Medicare PECOS Information:
- PECOS PAC ID: 4981833704
- Enrollment ID: I20140127001026
Medical Identifiers
Medical identifiers for Jacqueline C Malone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417378332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | SW 620 (Florida) | Secondary |
| 104100000X | Social Worker | SW 620 (Florida) | 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. Jacqueline C Malone allows following entities to bill medicare on her behalf.
| Entity Name | University Medical Service Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992742324
PECOS PAC ID: 6800790221
Enrollment ID: O20031126000130 |
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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. Jacqueline C Malone 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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Jacqueline C Malone, LCSW
100 5th Ave S,
St Petersburg, FL 33701-5010
Ph: (727) 873-4848 | Jacqueline C Malone, LCSW
100 5th Ave S,
St Petersburg, FL 33701-5010
Ph: (727) 873-4848 |
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