Jacqueline K Zaske, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Willmar, Minnesota. Her current practice location is
1125 6th St Se, Willmar, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 235-4613.
Jacqueline K Zaske is licensed to practice in Minnesota (license number 29075) 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 1760785224.
Healthcare Provider's Profile
Full Name | Jacqueline K Zaske |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1125 6th St Se, Willmar, Minnesota |
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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: 1760785224
- Provider Enumeration Date: 12/06/2010
- Last Update Date: 01/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446622518
- Enrollment ID: I20230218000556
Medical Identifiers
Medical identifiers for Jacqueline K Zaske such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760785224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 302974 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 29075 (Minnesota) | 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 K Zaske allows following entities to bill medicare on her behalf.
Entity Name | Woodland Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295818862 PECOS PAC ID: 7416860457 Enrollment ID: O20031106000600 |
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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 K Zaske 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 K Zaske, LICSW 1125 6th St Se, Willmar, MN 56201-4675 Ph: (320) 235-4613 | Jacqueline K Zaske, LICSW 1125 6th St Se, Willmar, MN 56201-4675 Ph: (320) 235-4613 |
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