Jessica Nitalee Medsker Lackey, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Brighton, Colorado. Her current practice location is
1860 Egbert Street, Brighton, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 697-2583.
Jessica Nitalee Medsker Lackey is licensed to practice in Colorado (license number CSW.09926156) 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 1841710209.
Healthcare Provider's Profile
Full Name | Jessica Nitalee Medsker Lackey |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1860 Egbert Street, Brighton, Colorado |
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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: 1841710209
- Provider Enumeration Date: 06/26/2017
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446517023
- Enrollment ID: I20171207000453
Medical Identifiers
Medical identifiers for Jessica Nitalee Medsker Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841710209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001952 (Colorado) | Secondary |
1041S0200X | Social Worker - School | CSW.09926156 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09926156 (Colorado) | 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. Jessica Nitalee Medsker Lackey allows following entities to bill medicare on her behalf.
Entity Name | Denver Health And Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
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Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
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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. Jessica Nitalee Medsker Lackey 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 |
Jessica Nitalee Medsker Lackey, LCSW, LAC 777 Bannock St, Denver, CO 80204-4597 Ph: (720) 424-0156 | Jessica Nitalee Medsker Lackey, LCSW, LAC 1860 Egbert Street, Brighton, CO 80601 Ph: (303) 697-2583 |
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