Jacqueline Detrick, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Sheldon, Iowa. Her current practice location is
118 N 2nd Ave, Sheldon, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 262-2922.
Jacqueline Detrick 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 1851906184.
Healthcare Provider's Profile
Full Name | Jacqueline Detrick |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 118 N 2nd Ave, Sheldon, Iowa |
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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: 1851906184
- Provider Enumeration Date: 09/14/2020
- Last Update Date: 09/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820445380
- Enrollment ID: I20231106002872
Medical Identifiers
Medical identifiers for Jacqueline Detrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851906184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (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. Jacqueline Detrick allows following entities to bill medicare on her behalf.
Entity Name | Elevate Therapy & Assessment, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568092195 PECOS PAC ID: 6709213507 Enrollment ID: O20200217000529 |
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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 Detrick 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 |
Jacqueline Detrick, 4822 Taft Ave, Sutherland, IA 51058-7572 Ph: (712) 441-2305 | Jacqueline Detrick, 118 N 2nd Ave, Sheldon, IA 51201-1039 Ph: (712) 262-2922 |
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