Jeannie Rebecca Tucker, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Monticello, Arkansas. Her current practice location is
790 Roberts Dr, Monticello, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 367-2461.
Jeannie Rebecca Tucker is licensed to practice in Arkansas (license number 5956-C) 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 1891942975.
Healthcare Provider's Profile
Full Name | Jeannie Rebecca Tucker |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 790 Roberts Dr, Monticello, Arkansas |
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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: 1891942975
- Provider Enumeration Date: 08/20/2008
- Last Update Date: 08/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688978737
- Enrollment ID: I20160210000521
Medical Identifiers
Medical identifiers for Jeannie Rebecca Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891942975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 5956-C (Arkansas) | 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. Jeannie Rebecca Tucker allows following entities to bill medicare on her behalf.
Entity Name | Delta Counseling Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053364612 PECOS PAC ID: 1850377508 Enrollment ID: O20040624001643 |
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Entity Name | Drew Memorial Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487909701 PECOS PAC ID: 6002066503 Enrollment ID: O20121025000656 |
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Entity Name | Healing Hands Addiction Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659980159 PECOS PAC ID: 7911317581 Enrollment ID: O20201110002589 |
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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. Jeannie Rebecca Tucker 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 |
Jeannie Rebecca Tucker, LCSW 519 Spring Branch Dr, Monticello, AR 71655-3849 Ph: (870) 723-1404 | Jeannie Rebecca Tucker, LCSW 790 Roberts Dr, Monticello, AR 71655-5723 Ph: (870) 367-2461 |
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