Jacqueline Lee Landers, MSW LCSW CSAC is a medicare enrolled "Social Worker - Clinical" provider in Brookfield, Wisconsin. She graduated from healthcare school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
15460 W Capitol Dr Ste 222, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 408-0588.
Jacqueline Lee Landers is licensed to practice in Wisconsin (license number 6864-123) 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 1043303787.
Healthcare Provider's Profile
| Full Name | Jacqueline Lee Landers |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 27 Years |
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| Location | 15460 W Capitol Dr Ste 222, Brookfield, Wisconsin |
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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 Lee Landers graduated from medical school in 1997
NPI Data:
- NPI Number: 1043303787
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 05/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 0840206041
- Enrollment ID: I20060224000562
Medical Identifiers
Medical identifiers for Jacqueline Lee Landers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043303787 | NPI | - | NPPES |
| 40922200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11947 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6864-123 (Wisconsin) | 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 Lee Landers allows following entities to bill medicare on her behalf.
| Entity Name | Landers Psychotherapy Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851786529
PECOS PAC ID: 4082934468
Enrollment ID: O20150527000461 |
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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 Lee Landers 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 Lee Landers, MSW LCSW CSAC
15460 W Capitol Dr Ste 222,
Brookfield, WI 53005-2632
Ph: (262) 408-0588 | Jacqueline Lee Landers, MSW LCSW CSAC
15460 W Capitol Dr Ste 222,
Brookfield, WI 53005-2632
Ph: (262) 408-0588 |
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