Jacqueline Lee Landers, MSW LCSW CSAC is a medicare enrolled "Social Worker - Clinical" provider in Brookfield, Wisconsin. 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 | |
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Experience | 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. |
Medical Education and Training:
- Jacqueline Lee Landers attended and graduated from in
NPI Data:
- NPI Number: 1043303787
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 05/16/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jacqueline Lee Landers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043303787 | NPI | - | NPPES |
40922200 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 11947 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 6864-123 (Wisconsin) | Primary |
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 |
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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