Ms Jan L Birks, CLINICAL SOCIAL WORK is a medicare enrolled "Social Worker - Clinical" provider in Fort Worth, Texas. Her current practice location is
2025 Langston St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 770-6937.
Ms Jan L Birks is licensed to practice in Texas (license number 66781) 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 1194203695.
Healthcare Provider's Profile
| Full Name | Ms Jan L Birks |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2025 Langston St, Fort Worth, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1194203695
- Provider Enumeration Date: 08/06/2018
- Last Update Date: 09/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779925037
- Enrollment ID: I20240531002063
Medical Identifiers
Medical identifiers for Ms Jan L Birks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194203695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12651 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 66781 (Texas) | 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. Ms Jan L Birks allows following entities to bill medicare on her behalf.
| Entity Name | The Gift Enterprises |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1063879161
PECOS PAC ID: 7416246517
Enrollment ID: O20160512001526 |
|---|
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. Ms Jan L Birks 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 |
|---|
Ms Jan L Birks, CLINICAL SOCIAL WORK
2025 Langston St,
Fort Worth, TX 76105-3622
Ph: (817) 770-6937 | Ms Jan L Birks, CLINICAL SOCIAL WORK
2025 Langston St,
Fort Worth, TX 76105-3622
Ph: (817) 770-6937 |
Reviews and Comments