Mary Jamia Jacobsen, LCSW, LMFT is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. She graduated from healthcare school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice American Behavioral Counseling and her current practice location is
1515 N Post Rd Ste A, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 282-3088.
Mary Jamia Jacobsen is licensed to practice in Indiana (license number 34002287A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356629414.
Healthcare Provider's Profile
Full Name | Mary Jamia Jacobsen |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 28 Years |
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Location | 1515 N Post Rd Ste A, Indianapolis, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mary Jamia Jacobsen graduated from medical school in 1996
NPI Data:
- NPI Number: 1356629414
- Provider Enumeration Date: 07/23/2011
- Last Update Date: 12/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385814755
- Enrollment ID: I20160502000446
Medical Identifiers
Medical identifiers for Mary Jamia Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356629414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 35000016A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34002287A (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
American Behavioral Counseling | 1850679002 | 3 |
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. Mary Jamia Jacobsen allows following entities to bill medicare on her behalf.
Entity Name | American Behavioral Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821548777 PECOS PAC ID: 1850679002 Enrollment ID: O20161024001051 |
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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. Mary Jamia Jacobsen 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 |
Mary Jamia Jacobsen, LCSW, LMFT 1515 N Post Rd Ste A, Indianapolis, IN 46219-4213 Ph: (317) 282-3088 | Mary Jamia Jacobsen, LCSW, LMFT 1515 N Post Rd Ste A, Indianapolis, IN 46219-4213 Ph: (317) 282-3088 |
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