Miss Jacqueline Nichole Struck, is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. Her current practice location is
10717 Camino Ruiz Ste 207, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(858) 695-2211.
Miss Jacqueline Nichole Struck is licensed to practice in California (license number 117818) 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 1033698956.
Healthcare Provider's Profile
| Full Name | Miss Jacqueline Nichole Struck |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 10717 Camino Ruiz Ste 207, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033698956
- Provider Enumeration Date: 08/10/2018
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850746611
- Enrollment ID: I20231013001874
Medical Identifiers
Medical identifiers for Miss Jacqueline Nichole Struck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033698956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 117818 (California) | 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. Miss Jacqueline Nichole Struck allows following entities to bill medicare on her behalf.
| Entity Name | Family Health Centers Of San Diego, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923 |
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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. Miss Jacqueline Nichole Struck 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 |
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Miss Jacqueline Nichole Struck,
10717 Camino Ruiz Ste 207,
San Diego, CA 92126-2364
Ph: (858) 695-2211 | Miss Jacqueline Nichole Struck,
10717 Camino Ruiz Ste 207,
San Diego, CA 92126-2364
Ph: (858) 695-2211 |
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