Jacquelyn Renae Thompson, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Omaha, Nebraska. Her current practice location is
1941 S 42nd St Ste 328, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 614-8444.
Jacquelyn Renae Thompson is licensed to practice in Nebraska (license number 1086) 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 1780879916.
Healthcare Provider's Profile
Full Name | Jacquelyn Renae Thompson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1941 S 42nd St Ste 328, Omaha, Nebraska |
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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: 1780879916
- Provider Enumeration Date: 09/11/2007
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072609767
- Enrollment ID: I20071010000627
Medical Identifiers
Medical identifiers for Jacquelyn Renae Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780879916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1137 (Nebraska) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 1336 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 1086 (Nebraska) | 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. Jacquelyn Renae Thompson allows following entities to bill medicare on her behalf.
Entity Name | Capstone Behavioral Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154371748 PECOS PAC ID: 2769578566 Enrollment ID: O20071009000829 |
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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. Jacquelyn Renae Thompson 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 |
Jacquelyn Renae Thompson, LICSW, LADC 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 Ph: (402) 614-8444 | Jacquelyn Renae Thompson, LICSW, LADC 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 Ph: (402) 614-8444 |
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