Jaci Faulkner, in Clinton, UT - Medicare Social Worker Provider

Jaci Faulkner, is a medicare enrolled "Social Worker - Clinical" provider in Clinton, Utah. Her current practice location is 1477 N 2000 W, Clinton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 773-4840.

Jaci Faulkner is licensed to practice in Utah (license number 13403293-3501) 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 1619648615.

Contact Information

	Jaci Faulkner,
	1477 N 2000 W, Clinton, UT 84015-8638
	(801) 773-4840
	(801) 525-8151

Map and Direction

Healthcare Provider's Profile

Full Name	Jaci Faulkner
Gender	Female
Speciality	Social Worker - Clinical
Location	1477 N 2000 W, Clinton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619648615
Provider Enumeration Date: 09/21/2021
Last Update Date: 04/14/2025

Medicare PECOS Information:

PECOS PAC ID: 2860918646
Enrollment ID: I20250424001249

Medical Identifiers

Medical identifiers for Jaci Faulkner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619648615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13403293-3501 (Utah)	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. Jaci Faulkner allows following entities to bill medicare on her behalf.

Entity Name	Tanner Memorial Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132

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. Jaci Faulkner 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
Jaci Faulkner, Po Box 337, Layton, UT 84041-0337 Ph: (801) 773-4840	Jaci Faulkner, 1477 N 2000 W, Clinton, UT 84015-8638 Ph: (801) 773-4840

Reviews and Comments

Social Worker in Clinton, UT

Ashley Gillies, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1477 N 2000 W, Clinton, UT 84015 Phone: 801-773-4840 Fax: 801-773-4840
Cassie Lopez, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1477 N 2000 W, Clinton, UT 84015 Phone: 801-773-4840
Joseph Patrick Lamb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2419 W 1850 N, Clinton, UT 84015 Phone: 801-920-4352
Kristen Nicole Garcia, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1477 N 2000 W, Clinton, UT 84015 Phone: 801-773-4840
Mckenzie Dearing, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1477 N 2000 W, Clinton, UT 84015 Phone: 801-773-4865
Brooke Howell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1407 N 2000 W Ste C, Clinton, UT 84015 Phone: 801-896-3622

Jaci Faulkner, - Medicare Clinical Social Worker in Clinton, UT