Joan Parks Jacobs, is a medicare enrolled "Social Worker - Clinical" provider in Danbury, Connecticut. Her current practice location is
22 Abbey Ln, Danbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(914) 646-1188.
Joan Parks Jacobs is licensed to practice in Connecticut (license number 10956) 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 1770983967.
Healthcare Provider's Profile
Full Name | Joan Parks Jacobs |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 22 Abbey Ln, Danbury, Connecticut |
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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: 1770983967
- Provider Enumeration Date: 08/26/2014
- Last Update Date: 03/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 2567890890
- Enrollment ID: I20200319000819
Medical Identifiers
Medical identifiers for Joan Parks Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770983967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 663744 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 10956 (Connecticut) | 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. Joan Parks Jacobs allows following entities to bill medicare on her behalf.
Entity Name | Jewish Family Services Of Greenwich Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740450543 PECOS PAC ID: 2062497001 Enrollment ID: O20040623000142 |
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Entity Name | Step Up Care Pc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
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Entity Name | Wct Behavioral Health & Medication Management Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285391474 PECOS PAC ID: 8820480734 Enrollment ID: O20220126000469 |
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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. Joan Parks Jacobs 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 |
Joan Parks Jacobs, 679 Titicus Road, North Salem, NY 10560 Ph: (914) 646-1188 | Joan Parks Jacobs, 22 Abbey Ln, Danbury, CT 06810-5230 Ph: (914) 646-1188 |
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