Danielle B Jacobs, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Black River Falls, Wisconsin. Her current practice location is
711 W Adams St, Black River Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 284-5361.
Danielle B Jacobs is licensed to practice in Wisconsin (license number 7131-123) 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 1689694135.
Healthcare Provider's Profile
Full Name | Danielle B Jacobs |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 711 W Adams St, Black River Falls, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689694135
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 06/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355306507
- Enrollment ID: I20041130000073
Medical Identifiers
Medical identifiers for Danielle B Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689694135 | NPI | - | NPPES |
40980700 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 7131-123 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 7131-123 (Wisconsin) | 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. Danielle B Jacobs allows following entities to bill medicare on her behalf.
Entity Name | Krohn Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790777621 PECOS PAC ID: 3577464916 Enrollment ID: O20040119000050 |
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Entity Name | Black River Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517 |
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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. Danielle B 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 |
Danielle B Jacobs, LCSW 711 W Adams St, Black River Falls, WI 54615-5052 Ph: (715) 284-5361 | Danielle B Jacobs, LCSW 711 W Adams St, Black River Falls, WI 54615-5052 Ph: (715) 284-5361 |
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