Mrs Lillie Marie Jacobs, LCSW in Charlotte, NC

Mrs Lillie Marie Jacobs, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Charlotte, North Carolina. Her current practice location is 3125 Eastway Drive, Suite 109, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 566-9437.

Mrs Lillie Marie Jacobs is licensed to practice in North Carolina (license number C002751) 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 1750332540.

Contact Information

	Mrs Lillie Marie Jacobs, LCSW
	3125 Eastway Drive, Suite 109, Charlotte, NC 28205
	(704) 566-9437
	(704) 566-9437

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lillie Marie Jacobs
Gender	Female
Speciality	Counselor - Mental Health
Location	3125 Eastway Drive, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750332540
Provider Enumeration Date: 05/15/2006
Last Update Date: 11/10/2021

Medicare PECOS Information:

PECOS PAC ID: 6103801295
Enrollment ID: I20040622001502

Medical Identifiers

Medical identifiers for Mrs Lillie Marie Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750332540	NPI	-	NPPES
13318	Other	NC	BLUE CROSS BLUE SHIELD
3077B1531	Other		MEDCOST
026940	Other		VMC BEHAVIORAL
555280	Other		VALUE OPTIONS
QMXTR0029414	Other		MENTAL HEALTH NETWORK
262210	Other		COMP PSYCH
6002517	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C002751 (North Carolina)	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 Lillie Marie Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Bmsc Nc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831611649 PECOS PAC ID: 9739445552 Enrollment ID: O20171113000126

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 Lillie Marie 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
Mrs Lillie Marie Jacobs, LCSW 3125 Eastway Drive, Suite 109, Charlotte, NC 28205 Ph: (704) 566-9437	Mrs Lillie Marie Jacobs, LCSW 3125 Eastway Drive, Suite 109, Charlotte, NC 28205 Ph: (704) 566-9437

Reviews and Comments

Counselor in Charlotte, NC

Dr. Jeff Randall Mishoe, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 East Blvd, C-8, Charlotte, NC 28203 Phone: 704-344-1100 Fax: 704-344-1100
Allegra Shonta Cooper, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 460, Charlotte, NC 28210 Phone: 980-302-8611 Fax: 980-302-8624
Meredith Garofalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 Chesterfield Ave, Charlotte, NC 28205 Phone: 773-263-6765
Reggie Moses, ST. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 East Blvd, Charlotte, NC 28203 Phone: 704-332-0081 Fax: 704-332-0085
Dr. Terri Lynn Tilford, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262 Phone: 980-689-4127
Emily Reiner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Yadkin Ave, Charlotte, NC 28205 Phone: 470-289-6301
Lindsey Yvette Donatien, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5200 Park Rd Ste 218b, Charlotte, NC 28209 Phone: 866-700-1606 Fax: 866-338-5921

Mrs Lillie Marie Jacobs, LCSW - Medicare Counselor in Charlotte, NC