Mrs Lynette Kaye Jacob, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Montross, Virginia. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mental Health Specialty Group Pa and her current practice location is
290 Haulover Cir, Montross, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 606-2880.
Mrs Lynette Kaye Jacob is licensed to practice in Virginia (license number 0904013293) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093466476.
Healthcare Provider's Profile
| Full Name | Mrs Lynette Kaye Jacob |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 15 Years |
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| Location | 290 Haulover Cir, Montross, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Lynette Kaye Jacob graduated from medical school in 2011
NPI Data:
- NPI Number: 1093466476
- Provider Enumeration Date: 01/17/2022
- Last Update Date: 04/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 8325421977
- Enrollment ID: I20220816000558
Medical Identifiers
Medical identifiers for Mrs Lynette Kaye Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093466476 | NPI | - | NPPES |
| 4M9UNF3 | Other | VA | NASW INSURANCE COMPANY, RRG |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 0904013293 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mental Health Specialty Group Pa | 8921466228 | 618 |
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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. Mrs Lynette Kaye Jacob allows following entities to bill medicare on her behalf.
| Entity Name | Potomac Family Counseling, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528798360 PECOS PAC ID: 7416330063 Enrollment ID: O20220816000329 |
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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 Lynette Kaye Jacob 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 Lynette Kaye Jacob, LCSW 290 Haulover Cir, Montross, VA 22520-8809 Ph: (703) 606-2880 | Mrs Lynette Kaye Jacob, LCSW 290 Haulover Cir, Montross, VA 22520-8809 Ph: (703) 606-2880 |
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