Jacqueline Luciana Booker, MSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. Her current practice location is
2020 W Harrison St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 572-4523.
Jacqueline Luciana Booker is licensed to practice in Illinois (license number 149-024490) 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 1497427470.
Healthcare Provider's Profile
| Full Name | Jacqueline Luciana Booker |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2020 W Harrison St, Chicago, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497427470
- Provider Enumeration Date: 09/29/2021
- Last Update Date: 07/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921480708
- Enrollment ID: I20220727001736
Medical Identifiers
Medical identifiers for Jacqueline Luciana Booker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497427470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149-024490 (Illinois) | 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 Luciana Booker allows following entities to bill medicare on her behalf.
| Entity Name | Cook County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747 |
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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 Luciana Booker 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 Luciana Booker, MSW, CADC
5325 S Cottage Grove Ave Apt 1005,
Chicago, IL 60615-3640
Ph: (773) 676-6713 | Jacqueline Luciana Booker, MSW, CADC
2020 W Harrison St,
Chicago, IL 60612-3741
Ph: (312) 572-4523 |
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