Mrs Mikaela Jacklin Center, is a medicare enrolled "Social Worker - Clinical" provider in Albany, New York. Her current practice location is
50 Beaver St Ste 301, Albany, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 669-4227.
Mrs Mikaela Jacklin Center is licensed to practice in New York (license number 093750-01) 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 1922536655.
Healthcare Provider's Profile
Full Name | Mrs Mikaela Jacklin Center |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 50 Beaver St Ste 301, Albany, New York |
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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: 1922536655
- Provider Enumeration Date: 05/25/2017
- Last Update Date: 09/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668842824
- Enrollment ID: I20230104000781
Medical Identifiers
Medical identifiers for Mrs Mikaela Jacklin Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922536655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 093750-01 (New York) | 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. Mrs Mikaela Jacklin Center allows following entities to bill medicare on her behalf.
Entity Name | Clearwater Counseling Associates Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700236775 PECOS PAC ID: 4082900188 Enrollment ID: O20160915000267 |
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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. Mrs Mikaela Jacklin Center 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 |
Mrs Mikaela Jacklin Center, 50 Beaver St Ste 301, Albany, NY 12207-1504 Ph: (518) 669-4227 | Mrs Mikaela Jacklin Center, 50 Beaver St Ste 301, Albany, NY 12207-1504 Ph: (518) 669-4227 |
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