Jean M Mcnally, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Clearlake, California. Her current practice location is
15230 Lakeshore Dr, Clearlake, California. You can reach out to her office (for appointments etc.) via phone at
(707) 995-4545.
Jean M Mcnally is licensed to practice in California (license number LCSW79447) 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 1215075015.
Healthcare Provider's Profile
| Full Name | Jean M Mcnally |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 15230 Lakeshore Dr, Clearlake, California |
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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: 1215075015
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 04/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 5294174876
- Enrollment ID: I20240416000519
Medical Identifiers
Medical identifiers for Jean M Mcnally such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215075015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW 36990 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW79447 (California) | 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. Jean M Mcnally allows following entities to bill medicare on her behalf.
| Entity Name | Adventist Health Clearlake Hospital Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124018031
PECOS PAC ID: 3072421197
Enrollment ID: O20041112000573 |
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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. Jean M Mcnally 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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Jean M Mcnally, LCSW
5807 Huron Ave,
Clearlake, CA 95422-9086
Ph: (707) 995-1002 | Jean M Mcnally, LCSW
15230 Lakeshore Dr,
Clearlake, CA 95422-8107
Ph: (707) 995-4545 |
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