Mr Jeffrey Douglas Jr, LMSW in Pontiac, MI - Medicare Clinical Social Worker Provider

Mr Jeffrey Douglas Jr, LMSW is a medicare enrolled "Social Worker" provider in Pontiac, Michigan. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Richard Kneip, Ph.d., P.c. and his current practice location is 1685 Baldwin Ave Ste 100, Pontiac, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 706-3450.

Mr Jeffrey Douglas Jr is licensed to practice in Michigan (license number 6801114949) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184116113.

Contact Information

	Mr Jeffrey Douglas Jr, LMSW
	1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242
	(248) 706-3450
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeffrey Douglas Jr
Gender	Male
Speciality	Clinical Social Worker
Experience	5 Years
Location	1685 Baldwin Ave Ste 100, Pontiac, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jeffrey Douglas Jr graduated from medical school in 2019

NPI Data:

NPI Number: 1184116113
Provider Enumeration Date: 06/05/2018
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 7719369313
Enrollment ID: I20220728002900

Medical Identifiers

Medical identifiers for Mr Jeffrey Douglas Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184116113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
104100000X	Social Worker	6801114949 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Richard Kneip, Ph.d., P.c.	4880768415	172

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. Mr Jeffrey Douglas Jr allows following entities to bill medicare on his behalf.

Entity Name	Easter Seals - Michigan, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376526616 PECOS PAC ID: 9830141670 Enrollment ID: O20050221000100

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20080731000086

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. Mr Jeffrey Douglas Jr 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
Mr Jeffrey Douglas Jr, LMSW 3277 Brookshear Cir, Auburn Hills, MI 48326-2211 Ph: (248) 766-1563	Mr Jeffrey Douglas Jr, LMSW 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 Ph: (248) 706-3450

Reviews and Comments

Social Worker in Pontiac, MI

Ms. Shalon Denise Lee, LMSW ACSW CFAE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 28 N Saginaw St, Ste 813, Pontiac, MI 48342 Phone: 248-451-0540 Fax: 248-451-0544
Renee Maxwell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 N Saginaw St, Pontiac, MI 48342 Phone: 248-322-6747
Lauren Alexis Lafleur, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Road, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7258
Taryn Reeve Koury, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766
Floretta Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 823 Golf Dr, Pontiac, MI 48341 Phone: 248-320-5034
Marisa Ariel Seltzer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 N Telegraph Rd Bldg 32, Pontiac, MI 48341 Phone: 248-451-2650
Mrs. Latonna Marika Caleb-hughes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-456-8150

Mr Jeffrey Douglas Jr, LMSW - Medicare Clinical Social Worker in Pontiac, MI