Jacqueline K Zaske, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Willmar, Minnesota. She graduated from healthcare school in 2020 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Woodland Centers and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 1125 6th St Se, Willmar, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacqueline K Zaske graduated from medical school in 2020
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 |
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| 1760785224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302974 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 29075 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Woodland Centers | 7416860457 | 36 |
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 |
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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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