Jason R Eller, LICSWA, MSW is a
Social Worker based in Lacey, Washington. Jason R Eller is licensed to practice in Washington (license number SC61356908) and his current practice location is
4200 6th Ave Se Ste 201, Lacey, Washington. He can be reached at his office (for appointments etc.) via phone at
(564) 669-0130.
NPI number for Jason R Eller is 1902685464 and his current mailing address is 3608 Andress St Ne, Lacey, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902685464.
Healthcare Provider's Profile
| Full Name | Jason R Eller |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 4200 6th Ave Se Ste 201, Lacey, Washington |
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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: 1902685464
- Provider Enumeration Date: 09/25/2023
- Last Update Date: 09/25/2023
Medical Identifiers
Medical identifiers for Jason R Eller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902685464 | NPI | - | NPPES |
| SC61356908 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | SC61356908 (Washington) | 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. Jason R Eller 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 |
|---|
Jason R Eller, LICSWA, MSW
3608 Andress St Ne,
Lacey, WA 98516-3404
Ph: (719) 287-5545 | Jason R Eller, LICSWA, MSW
4200 6th Ave Se Ste 201,
Lacey, WA 98503-1042
Ph: (564) 669-0130 |
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