Ms Jacqueline A Jacobson, LPC in Fairfax, VA - Medicare Counselor Provider

Ms Jacqueline A Jacobson, LPC is a medicare enrolled "Counselor - Mental Health" provider in Fairfax, Virginia. Her current practice location is 3700 Joseph Siewick Dr Ste 408a, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 620-3211.

Ms Jacqueline A Jacobson is licensed to practice in Virginia (license number 0701002868) 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 1487648085.

Contact Information

	Ms Jacqueline A Jacobson, LPC
	3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033-1745
	(703) 620-3211
	(703) 620-3215

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jacqueline A Jacobson
Gender	Female
Speciality	Counselor - Mental Health
Location	3700 Joseph Siewick Dr Ste 408a, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487648085
Provider Enumeration Date: 09/09/2005
Last Update Date: 12/11/2020

Medicare PECOS Information:

PECOS PAC ID: 5799124467
Enrollment ID: I20240415000009

Medical Identifiers

Medical identifiers for Ms Jacqueline A Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487648085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0701002868 (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. Ms Jacqueline A Jacobson allows following entities to bill medicare on her behalf.

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000935

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. Ms Jacqueline A Jacobson 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
Ms Jacqueline A Jacobson, LPC 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033-1745 Ph: (703) 620-3211	Ms Jacqueline A Jacobson, LPC 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033-1745 Ph: (703) 620-3211

Reviews and Comments

Counselor in Fairfax, VA

Ms. Saundra Kay Ladd, LPC, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 10195 Main St, Suite N, Fairfax, VA 22031 Phone: 703-591-9600
Erika Lanette Portillo, M.ED, LMHP-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030 Phone: 703-218-6599 Fax: 703-218-2012
Zaria Hardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St Ste 250, Fairfax, VA 22030 Phone: 703-782-3710
Laura Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13130 Maltese Ln, Fairfax, VA 22033 Phone: 571-317-1597
Autumn Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Old Lee Hwy Ste 23a, Fairfax, VA 22030 Phone: 757-942-5140
Margaret Maxwell, RESIDENT COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 9677 Main St # A-b, Fairfax, VA 22031 Phone: 202-964-1209
Kelly Bauer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11200 Waples Mill Rd, Suite 180, Fairfax, VA 22030 Phone: 703-383-8333 Fax: 703-383-3183

Ms Jacqueline A Jacobson, LPC - Medicare Counselor in Fairfax, VA