Jasen F Jacobsen, is a
Social Worker - Clinical based in Bentonville, Arkansas. Jasen F Jacobsen is licensed to practice in * (Not Available) (license number ) and his current practice location is
2508 Se 20th St, Bentonville, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 273-9088.
NPI number for Jasen F Jacobsen is 1659746618 and his current mailing address is 2400 S 48th St, Springdale, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659746618.
Healthcare Provider's Profile
| Full Name | Jasen F Jacobsen |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2508 Se 20th St, Bentonville, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659746618
- Provider Enumeration Date: 12/02/2015
- Last Update Date: 01/30/2025
Medical Identifiers
Medical identifiers for Jasen F Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659746618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 12323-M (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Jasen F Jacobsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jasen F Jacobsen,
2400 S 48th St,
Springdale, AR 72762-6683
Ph: (479) 750-2020 | Jasen F Jacobsen,
2508 Se 20th St,
Bentonville, AR 72712-4008
Ph: (479) 273-9088 |
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