Mary Jamia Jacobsen, LCSW, LMFT is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. 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 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 1356629414.
Healthcare Provider's Profile
| Full Name | Mary Jamia Jacobsen |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1515 N Post Rd Ste A, Indianapolis, Indiana |
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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: 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 |
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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