Ms Suzanne Jacqueline Jacobs, LICSW in Worcester, MA

Ms Suzanne Jacqueline Jacobs, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 442-2853.

Ms Suzanne Jacqueline Jacobs is licensed to practice in Massachusetts (license number 111352) 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 1043271513.

Contact Information

	Ms Suzanne Jacqueline Jacobs, LICSW
	55 Lake Ave N, Worcester, MA 01655-0002
	(774) 442-2853
	(774) 443-7042

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Suzanne Jacqueline Jacobs
Gender	Female
Speciality	Social Worker - Clinical
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043271513
Provider Enumeration Date: 03/31/2006
Last Update Date: 11/29/2020

Medicare PECOS Information:

PECOS PAC ID: 9032152608
Enrollment ID: I20151014003347

Medical Identifiers

Medical identifiers for Ms Suzanne Jacqueline Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043271513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW01586 (Rhode Island)	Secondary
1041C0700X	Social Worker - Clinical	111352 (Massachusetts)	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. Ms Suzanne Jacqueline Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

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. Ms Suzanne Jacqueline Jacobs 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
Ms Suzanne Jacqueline Jacobs, LICSW Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885	Ms Suzanne Jacqueline Jacobs, LICSW 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 442-2853

Reviews and Comments

Social Worker in Worcester, MA

Kristi Dawn Vargas, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-860-1295
Michael G Durben, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Lincoln St, Worcester, MA 01605 Phone: 978-632-9400
Jordan Doucette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000
Ms. Laurie J Drazek, LCSW, M. ED Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 Highland Street, Worcester, MA 01602 Phone: 508-860-1172
Ms. Tuyet Tran, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-981-9797
Kristine E Lotoski, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Main St, Suite 383, Worcester, MA 01608 Phone: 508-791-4976 Fax: 508-791-6723
Ms. Julia Joachim Shaw, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 617-817-2033

Ms Suzanne Jacqueline Jacobs, LICSW - Medicare Clinical Social Worker in Worcester, MA