Mr Jimmy Dean Salyers Jr, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Hopkinsville, Kentucky. His current practice location is
1841 Peartree Ln, Hopkinsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 569-0121.
Mr Jimmy Dean Salyers Jr is licensed to practice in Kentucky (license number 258549) 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 1710624820.
Healthcare Provider's Profile
| Full Name | Mr Jimmy Dean Salyers Jr |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1841 Peartree Ln, Hopkinsville, Kentucky |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1710624820
- Provider Enumeration Date: 05/19/2022
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779025846
- Enrollment ID: I20240604002483
Medical Identifiers
Medical identifiers for Mr Jimmy Dean Salyers Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710624820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 275570 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 258549 (Kentucky) | 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 Jimmy Dean Salyers Jr allows following entities to bill medicare on his behalf.
| Entity Name | Paintsville Behavioral Health, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1083355424
PECOS PAC ID: 2264812668
Enrollment ID: O20220701000549 |
|---|
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 Jimmy Dean Salyers 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 Jimmy Dean Salyers Jr, LCSW, LCADC
236 College St,
Paintsville, KY 41240-1098
Ph: (270) 569-0121 | Mr Jimmy Dean Salyers Jr, LCSW, LCADC
1841 Peartree Ln,
Hopkinsville, KY 42240-4460
Ph: (270) 569-0121 |
Reviews and Comments