Mrs Holly Ann Jackle, LCSW in Crossville, TN - Medicare Social Worker Provider

Mrs Holly Ann Jackle, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Crossville, Tennessee. Her current practice location is 28 Brummel Ln, Crossville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 609-6361.

Mrs Holly Ann Jackle is licensed to practice in Tennessee (license number LSW0000003184) 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 1841588498.

Contact Information

	Mrs Holly Ann Jackle, LCSW
	28 Brummel Ln, Crossville, TN 38558-2630
	(615) 609-6361
	(866) 341-7509

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Holly Ann Jackle
Gender	Female
Speciality	Social Worker - Clinical
Location	28 Brummel Ln, Crossville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841588498
Provider Enumeration Date: 07/18/2011
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 1850560400
Enrollment ID: I20110816000567

Medical Identifiers

Medical identifiers for Mrs Holly Ann Jackle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841588498	NPI	-	NPPES
Q000600	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LSW0000003184 (Tennessee)	Primary

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. Mrs Holly Ann Jackle 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
Mrs Holly Ann Jackle, LCSW 28 Brummel Ln, Crossville, TN 38558-2630 Ph: (615) 609-6361	Mrs Holly Ann Jackle, LCSW 28 Brummel Ln, Crossville, TN 38558-2630 Ph: (615) 609-6361

Reviews and Comments

Social Worker in Crossville, TN

Ms. Laura Lynn Hughes-hudgins, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1503 S Main St, Crossville, TN 38555 Phone: 931-484-6196 Fax: 931-456-1047
Rebecca Kilmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St, Crossville, TN 38571 Phone: 931-287-2826 Fax: 931-451-3766
Aimee Lea Twohig, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 352 Lantana Rd, Crossville, TN 38555 Phone: 931-262-2448
Amanda S Lewis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 66 Hermans Ln, Crossville, TN 38555 Phone: 865-603-9447

Mrs Holly Ann Jackle, LCSW - Medicare Clinical Social Worker in Crossville, TN