Karen Ann Jacka, in Lodi, CA - Medicare Social Worker Provider

Karen Ann Jacka, is a medicare enrolled "Social Worker - Clinical" provider in Lodi, California. Her current practice location is 404 W Pine St Ste 1, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 483-6474.

Karen Ann Jacka is licensed to practice in California (license number LCS16470) 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 1790908788.

Contact Information

	Karen Ann Jacka,
	404 W Pine St Ste 1, Lodi, CA 95240
	(209) 483-6474
	(209) 367-4696

Map and Direction

Healthcare Provider's Profile

Full Name	Karen Ann Jacka
Gender	Female
Speciality	Social Worker - Clinical
Location	404 W Pine St Ste 1, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790908788
Provider Enumeration Date: 04/10/2007
Last Update Date: 08/27/2018

Medicare PECOS Information:

PECOS PAC ID: 0446776322
Enrollment ID: I20250424001086

Medical Identifiers

Medical identifiers for Karen Ann Jacka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790908788	NPI	-	NPPES
3810106	Other	CA	PROVIDER # AETNA
48809	Other	CA	PRIVIDER NUMBER MHN
A881670	Other	CA	VALUE OPITIONS VENDOR NUM
62-79934	Other	CA	PROV. NO.UNITED HEALTH CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS16470 (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. Karen Ann Jacka allows following entities to bill medicare on her behalf.

Entity Name	County Of San Joaquin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095

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. Karen Ann Jacka 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
Karen Ann Jacka, 21 S California St, Lodi, CA 95240-1907 Ph: (209) 483-6474	Karen Ann Jacka, 404 W Pine St Ste 1, Lodi, CA 95240 Ph: (209) 483-6474

Reviews and Comments

Social Worker in Lodi, CA

Frances A Engel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Ketteman Ln, Ste #103, Lodi, CA 95242 Phone: 209-339-3802 Fax: 209-759-9387
Nancy Mardis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-7900
Leslie Kayla Corrales-solorio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 312 N School St, Lodi, CA 95240 Phone: 209-582-5233
Jacqueline Cantellano, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2624 Primrose Dr, Lodi, CA 95242 Phone: 209-922-1053
Rebecca Anjanette Frame, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 421 N School St, Lodi, CA 95240 Phone: 209-747-4831
Enedelia Lopez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13451 N Extension Rd, Lodi, CA 95242 Phone: 209-953-8301
Diana Holt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 Pine St, Lodi, CA 95240 Phone: 209-366-2273 Fax: 209-366-2976

Karen Ann Jacka, - Medicare Clinical Social Worker in Lodi, CA