Jennifer Lacasse, is a medicare enrolled "Social Worker - Clinical" provider in Live Oak, Florida. Her current practice location is
1373 Ohio Ave N, Live Oak, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 374-5600.
Jennifer Lacasse is licensed to practice in Florida (license number SW16163) 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 1194178814.
Healthcare Provider's Profile
| Full Name | Jennifer Lacasse |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1373 Ohio Ave N, Live Oak, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1194178814
- Provider Enumeration Date: 07/18/2016
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769715127
- Enrollment ID: I20190618000550
Medical Identifiers
Medical identifiers for Jennifer Lacasse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194178814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW16163 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW16163 (Florida) | 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. Jennifer Lacasse allows following entities to bill medicare on her behalf.
| Entity Name | Meridian Behavioral Healthcare Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134287154
PECOS PAC ID: 7517977812
Enrollment ID: O20060502000237 |
|---|
| Entity Name | Grow Healthcare Group Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
|---|
| Entity Name | North Florida Health Center, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093593709
PECOS PAC ID: 5294187548
Enrollment ID: O20240123000512 |
|---|
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. Jennifer Lacasse 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 |
|---|
Jennifer Lacasse,
1373 Ohio Ave N,
Live Oak, FL 32064-4006
Ph: () - | Jennifer Lacasse,
1373 Ohio Ave N,
Live Oak, FL 32064-0440
Ph: (352) 374-5600 |
Reviews and Comments