Jacquelyn Banks, in Blue Island, IL - Medicare Social Worker Provider

Jacquelyn Banks, is a medicare enrolled "Social Worker - Clinical" provider in Blue Island, Illinois. Her current practice location is 12757 Western Ave, Blue Island, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 293-8400.

Jacquelyn Banks is licensed to practice in Illinois (license number 149.024025) 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 1972225738.

Contact Information

	Jacquelyn Banks,
	12757 Western Ave, Blue Island, IL 60406-2155
	(708) 293-8400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Banks
Gender	Female
Speciality	Social Worker - Clinical
Location	12757 Western Ave, Blue Island, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972225738
Provider Enumeration Date: 09/16/2022
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6608246434
Enrollment ID: I20230112000063

Medical Identifiers

Medical identifiers for Jacquelyn Banks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972225738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.024025 (Illinois)	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. Jacquelyn Banks allows following entities to bill medicare on her behalf.

Entity Name	Cook County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747

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. Jacquelyn Banks 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
Jacquelyn Banks, Po Box 170198, Chicago, IL 60617-9198 Ph: () -	Jacquelyn Banks, 12757 Western Ave, Blue Island, IL 60406-2155 Ph: (708) 293-8400

Reviews and Comments

Social Worker in Blue Island, IL

Ms. Juliet Ann Russom Walden, BS, AM, LSCW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13136 Western Ave, Blue Island, IL 60406 Phone: 708-974-5800
Amanda Keenan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3046 127th St, Blue Island, IL 60406 Phone: 708-377-7920 Fax: 708-930-0414
Kristen Hofman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13136 Western Ave, Blue Island, IL 60406 Phone: 708-974-5800
Jessica Null, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12331 Gregory St, Blue Island, IL 60406 Phone: 708-489-7338
Mr. George Fay Henry Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12311 Meadow Ln, Unit 1b, Blue Island, IL 60406 Phone: 312-504-5560
Mr. Leo W Lavender, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13811 Western Ave, Blue Island, IL 60406 Phone: 773-552-4120
Candace Clark, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13136 Western Ave, Blue Island, IL 60406 Phone: 708-974-5864

Jacquelyn Banks, - Medicare Clinical Social Worker in Blue Island, IL