Jacalyn Sue Lasich, MSW in Traverse City, MI - Medicare Social Worker Provider

Jacalyn Sue Lasich, MSW is a medicare enrolled "Social Worker - Clinical" provider in Traverse City, Michigan. Her current practice location is 217 S Madison Street, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 392-8400.

Jacalyn Sue Lasich is licensed to practice in Michigan (license number 6801089753) 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 1487909396.

Contact Information

	Jacalyn Sue Lasich, MSW
	217 S Madison Street, Traverse City, MI 49684-2320
	(231) 392-8400
	(231) 935-7888

Map and Direction

Healthcare Provider's Profile

Full Name	Jacalyn Sue Lasich
Gender	Female
Speciality	Social Worker - Clinical
Location	217 S Madison Street, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487909396
Provider Enumeration Date: 07/17/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5698923209
Enrollment ID: I20120924000161

Medical Identifiers

Medical identifiers for Jacalyn Sue Lasich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487909396	NPI	-	NPPES
1487909396	Medicaid	MI
6801089753	Other	MI	MICHIGAN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801089753 (Michigan)	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. Jacalyn Sue Lasich allows following entities to bill medicare on her behalf.

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

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. Jacalyn Sue Lasich 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
Jacalyn Sue Lasich, MSW 1414 W Fair Ave, Ste 332, Marquette, MI 49855-5407 Ph: (231) 935-6080	Jacalyn Sue Lasich, MSW 217 S Madison Street, Traverse City, MI 49684-2320 Ph: (231) 392-8400

Reviews and Comments

Social Worker in Traverse City, MI

Mr. Peter Joseph Zoutendyk Jr., MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 S Garfield Ave Ste B, Traverse City, MI 49686 Phone: 231-947-0511
Mrs. Janet Lynn Hughes, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1844 Oak Hollow Dr, Suite B, Traverse City, MI 49686 Phone: 231-929-0300 Fax: 231-933-6378
Mr. Calvin George Sikarskie, MS, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3785 Veterans Dr, Traverse City, MI 49684 Phone: 231-929-0520
Mr. Michael Franklin Coonan, LMSW ACSW BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1889 E River Rd, Traverse City, MI 49696 Phone: 850-377-1960
Mr. Robert Anthony Fernandez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 954 Business Park Dr, Traverse City, MI 49686 Phone: 231-590-3411
Ms. Melanie Sue Lutz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4020 Copper Vw Ste 104, Traverse City, MI 49684 Phone: 231-421-6921 Fax: 234-421-7852
Melissa Hall, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 735 S Garfield Ave, Traverse City, MI 49686 Phone: 231-267-8296 Fax: 231-368-6270

Jacalyn Sue Lasich, MSW - Medicare Clinical Social Worker in Traverse City, MI