Jacqui Renee Schollenberger, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Erwin, Tennessee. Her current practice location is
1119 N Main Ave, Erwin, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 220-3990.
Jacqui Renee Schollenberger is licensed to practice in Tennessee (license number 5469) 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 1629400148.
Healthcare Provider's Profile
| Full Name | Jacqui Renee Schollenberger |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1119 N Main Ave, Erwin, Tennessee |
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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: 1629400148
- Provider Enumeration Date: 08/07/2013
- Last Update Date: 04/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486897824
- Enrollment ID: I20130904000099
Medical Identifiers
Medical identifiers for Jacqui Renee Schollenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629400148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 5469 (Tennessee) | 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. Jacqui Renee Schollenberger allows following entities to bill medicare on her behalf.
| Entity Name | Cherokee Health Systems |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134128820 PECOS PAC ID: 3577474295 Enrollment ID: O20031119000769 |
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| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210811000247 |
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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. Jacqui Renee Schollenberger 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 |
Jacqui Renee Schollenberger, LCSW 1119 N Main Ave, Erwin, TN 37650-1507 Ph: (423) 220-3990 | Jacqui Renee Schollenberger, LCSW 1119 N Main Ave, Erwin, TN 37650-1507 Ph: (423) 220-3990 |
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