Michelle N Jaquish, LICSW in Fircrest, WA - Medicare Social Worker Provider

Michelle N Jaquish, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fircrest, Washington. Her current practice location is 6314 19th St W Ste 7, Fircrest, Washington. You can reach out to her office (for appointments etc.) via phone at (601) 206-8735.

Michelle N Jaquish is licensed to practice in Washington (license number LW61115906) 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 1174091110.

Contact Information

	Michelle N Jaquish, LICSW
	6314 19th St W Ste 7, Fircrest, WA 98466-6223
	(601) 206-8735
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle N Jaquish
Gender	Female
Speciality	Social Worker - Clinical
Location	6314 19th St W Ste 7, Fircrest, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174091110
Provider Enumeration Date: 11/07/2018
Last Update Date: 01/13/2025

Medicare PECOS Information:

PECOS PAC ID: 8729476031
Enrollment ID: I20211019000965

Medical Identifiers

Medical identifiers for Michelle N Jaquish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174091110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61115906 (Washington)	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. Michelle N Jaquish allows following entities to bill medicare on her behalf.

Entity Name	Counseling Services For Wellbeing, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588080626 PECOS PAC ID: 2163641598 Enrollment ID: O20140917002638

Entity Name	Michelle Jaquish
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831824424 PECOS PAC ID: 2961887872 Enrollment ID: O20220913003161

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. Michelle N Jaquish 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
Michelle N Jaquish, LICSW 6314 19th St W Ste 7, Fircrest, WA 98466-6223 Ph: (601) 206-8735	Michelle N Jaquish, LICSW 6314 19th St W Ste 7, Fircrest, WA 98466-6223 Ph: (601) 206-8735

Reviews and Comments

Social Worker in Fircrest, WA

Alyssa Mccullough, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1037 Greenway Ave, Fircrest, WA 98466 Phone: 253-282-0781
Sue Mary Stevens, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6314 19th St West, 7, Fircrest, WA 98466 Phone: 253-318-4110 Fax: 253-572-8046
Sally H Kim, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6314 19th St W Ste 7, Fircrest, WA 98466 Phone: 253-345-9457
Kariah C Phillips, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1033 Regents Blvd, Ste 101, Fircrest, WA 98466 Phone: 253-238-6554 Fax: 253-590-0821
Amber Bradford, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1216 Coral Dr, Fircrest, WA 98466 Phone: 253-223-8531
Sydney Leigh Doherty, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 507 Spring St, Fircrest, WA 98466 Phone: 253-232-4853

Michelle N Jaquish, LICSW - Medicare Clinical Social Worker in Fircrest, WA