Mr Danny Ernest Jude Jr, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Gay, West Virginia. His current practice location is
20824 Route 52, Fort Gay, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 648-7100.
Mr Danny Ernest Jude Jr is licensed to practice in West Virginia (license number DP00944783) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316385792.
Healthcare Provider's Profile
| Full Name | Mr Danny Ernest Jude Jr |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 20824 Route 52, Fort Gay, West Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1316385792
- Provider Enumeration Date: 06/07/2013
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214247980
- Enrollment ID: I20211006002967
Medical Identifiers
Medical identifiers for Mr Danny Ernest Jude Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316385792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5041 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | DP00944783 (West Virginia) | 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. Mr Danny Ernest Jude Jr allows following entities to bill medicare on his behalf.
| Entity Name | Coalfield Family Services, Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1811353154
PECOS PAC ID: 0143510909
Enrollment ID: O20170531001074 |
|---|
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. Mr Danny Ernest Jude Jr 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 |
|---|
Mr Danny Ernest Jude Jr, LICSW
20824 Route 52,
Fort Gay, WV 25514-7074
Ph: (304) 648-7100 | Mr Danny Ernest Jude Jr, LICSW
20824 Route 52,
Fort Gay, WV 25514-7074
Ph: (304) 648-7100 |
Reviews and Comments