Mr Vernon Thomas Jaques, LCSW in Gallup, NM - Medicare Clinical Social Worker Provider

Mr Vernon Thomas Jaques, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gallup, New Mexico. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Dhhs,phs,naihs, Gallup Indian Medical Center and his current practice location is 516 E. Nizhoni Blvd, Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Mr Vernon Thomas Jaques is licensed to practice in New Mexico (license number C-10278) 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 1689746554.

Contact Information

	Mr Vernon Thomas Jaques, LCSW
	516 E. Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1000
	(928) 697-4189

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Vernon Thomas Jaques
Gender	Male
Speciality	Clinical Social Worker
Experience	29 Years
Location	516 E. Nizhoni Blvd, Gallup, New Mexico
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 Vernon Thomas Jaques graduated from medical school in 1995

NPI Data:

NPI Number: 1689746554
Provider Enumeration Date: 11/15/2006
Last Update Date: 06/10/2020

Medicare PECOS Information:

PECOS PAC ID: 5294754461
Enrollment ID: I20051116000823

Medical Identifiers

Medical identifiers for Mr Vernon Thomas Jaques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689746554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C-10278 (New Mexico)	Primary
1041C0700X	Social Worker - Clinical	M-04628 (New Mexico)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gallup Indian Medical Center	Gallup, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhhs,phs,naihs, Gallup Indian Medical Center	3173436409	100

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 Vernon Thomas Jaques allows following entities to bill medicare on his behalf.

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

Entity Name	Kayenta Alternative Rural Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174692529 PECOS PAC ID: 3678558129 Enrollment ID: O20040621000422

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 Vernon Thomas Jaques 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 Vernon Thomas Jaques, LCSW Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000	Mr Vernon Thomas Jaques, LCSW 516 E. Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000

Reviews and Comments

Social Worker in Gallup, NM

Summer B Hogue, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Betty Sharon Spencer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 928-697-4189
Tristan Glenn Keller, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-863-6612
Judy Martinez, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Sierra Rose Yazzie Asamoa-tutu, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3120
Beverly Tamanini, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 1/2 E Hill Ave, Gallup, NM 87301 Phone: 505-863-1930

Mr Vernon Thomas Jaques, LCSW - Medicare Clinical Social Worker in Gallup, NM