Mr Jack Davis Haden, LCSW - Medicare Counselor in Salt Lake City, UT

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Mr Jack Davis Haden, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Salt Lake City, Utah. His current practice location is 331 S 600 E, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 210-1107.

Mr Jack Davis Haden is licensed to practice in Utah (license number 8928002-3501) 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 1821396540.

Contact Information

Mr Jack Davis Haden, LCSW
331 S 600 E,
Salt Lake City, UT 84102-4013
(801) 210-1107
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Jack Davis Haden
GenderMale
SpecialitySocial Worker - Clinical
Location331 S 600 E, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821396540
  • Provider Enumeration Date: 03/03/2011
  • Last Update Date: 12/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5698152510
  • Enrollment ID: I20220516001354

Medical Identifiers

Medical identifiers for Mr Jack Davis Haden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821396540NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical 8928002-3501 (Utah)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 Jack Davis Haden allows following entities to bill medicare on his behalf.
Entity NameUtah Pride Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154745693
PECOS PAC ID: 1850514506
Enrollment ID: O20140527000988

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 Jack Davis Haden 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 AddressPractice Location Address
Mr Jack Davis Haden, LCSW
110 S 800 E Apt 203,
Salt Lake City, UT 84102-4145

Ph: (801) 520-6834		Mr Jack Davis Haden, LCSW
331 S 600 E,
Salt Lake City, UT 84102-4013

Ph: (801) 210-1107

Reviews and Comments


Social Worker in Salt Lake City, UT


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.