Mr John Douglas Jaco, LICSW in Poulsbo, WA - Medicare Social Worker Provider

Mr John Douglas Jaco, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Poulsbo, Washington. His current practice location is 19895 4th Ave Ne, Unit A, Poulsbo, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 658-0727.

Mr John Douglas Jaco is licensed to practice in Washington (license number LW61523528) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518796945.

Contact Information

	Mr John Douglas Jaco, LICSW
	19895 4th Ave Ne, Unit A, Poulsbo, WA 98370-7481
	(425) 658-0727
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Douglas Jaco
Gender	Male
Speciality	Social Worker - Clinical
Location	19895 4th Ave Ne, Poulsbo, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518796945
Provider Enumeration Date: 08/01/2024
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 6406376011
Enrollment ID: I20250226002787

Medical Identifiers

Medical identifiers for Mr John Douglas Jaco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518796945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61523528 (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. Mr John Douglas Jaco allows following entities to bill medicare on his behalf.

Entity Name	Teletherapeutics Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508436528 PECOS PAC ID: 7719375385 Enrollment ID: O20211101002011

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 John Douglas Jaco 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 John Douglas Jaco, LICSW 522 West Riverside Ave, Suite 4309, Spokane, WA 99201-0580 Ph: (888) 420-0589	Mr John Douglas Jaco, LICSW 19895 4th Ave Ne, Unit A, Poulsbo, WA 98370-7481 Ph: (425) 658-0727

Reviews and Comments

Social Worker in Poulsbo, WA

Rebekah E Verdugo, LICSW, LCSW, SUDP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1924 Nw Russell St, Poulsbo, WA 98370 Phone: 775-544-5065
Michelle Lynn Kunz, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 Ne Ohenry Ct, Poulsbo, WA 98370 Phone: 206-552-5927
Ms. Susan Marie Casagrande, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18978 Ne Front Street, Suite 201, Poulsbo, WA 98370 Phone: 360-626-3167 Fax: 360-633-4399
Alberta-jane Lawrence, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Ne Hostmark St Ste 201, Poulsbo, WA 98370 Phone: 360-990-7330
Ms. Patricia Calhoun Gabreski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19379 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-394-1000
Mrs. Margaret Mary Aronson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Lindvig Way, #6, Poulsbo, WA 98370 Phone: 360-779-3125
Kelly Barber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1611 England Ln Nw, Poulsbo, WA 98370 Phone: 206-659-6527

Mr John Douglas Jaco, LICSW - Medicare Clinical Social Worker in Poulsbo, WA