Ruby Lisa Hawkins-jack, LCSW in Niceville, FL - Medicare Social Worker Provider

Ruby Lisa Hawkins-jack, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Niceville, Florida. Her current practice location is 358 Jamaica Way, Niceville, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 279-3045.

Ruby Lisa Hawkins-jack is licensed to practice in Michigan (license number 6801081884) 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 1619233566.

Contact Information

	Ruby Lisa Hawkins-jack, LCSW
	358 Jamaica Way, Niceville, FL 32578-3831
	(850) 279-3045
	(850) 279-3045

Map and Direction

Healthcare Provider's Profile

Full Name	Ruby Lisa Hawkins-jack
Gender	Female
Speciality	Social Worker - Clinical
Location	358 Jamaica Way, Niceville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619233566
Provider Enumeration Date: 04/04/2012
Last Update Date: 04/04/2012

Medicare PECOS Information:

PECOS PAC ID: 5395134555
Enrollment ID: I20211110001533

Medical Identifiers

Medical identifiers for Ruby Lisa Hawkins-jack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619233566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801081884 (Michigan)	Primary
1041S0200X	Social Worker - School	6801081884 (Michigan)	Secondary

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. Ruby Lisa Hawkins-jack allows following entities to bill medicare on her behalf.

Entity Name	Carpenter House Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982069480 PECOS PAC ID: 7618225749 Enrollment ID: O20180807001555

Entity Name	Revive Counseling And Coaching Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437871845 PECOS PAC ID: 9032587803 Enrollment ID: O20221129001108

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. Ruby Lisa Hawkins-jack 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
Ruby Lisa Hawkins-jack, LCSW 358 Jamaica Way, Niceville, FL 32578-3831 Ph: (850) 279-3045	Ruby Lisa Hawkins-jack, LCSW 358 Jamaica Way, Niceville, FL 32578-3831 Ph: (850) 279-3045

Reviews and Comments

Social Worker in Niceville, FL

Kaitlyn Partin, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1417 Partin Dr N, Niceville, FL 32578 Phone: 850-729-0303 Fax: 850-729-0305
Jennifer Elizabeth Tallman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1417 Partin Dr N Ste 1, Niceville, FL 32578 Phone: 850-729-0304 Fax: 850-729-0305
Alexious Milord, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4566 E Highway 20 Ste 104, Niceville, FL 32578 Phone: 850-842-2424
Carissa Keeter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 117 Partin Dr N, Niceville, FL 32578 Phone: 980-263-0680
Colby Laine Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4591 E Highway 20 Ste 202i, Niceville, FL 32578 Phone: 850-918-8417
Carmen Y. Brezna, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 636 Kilcullen Dr, Niceville, FL 32578 Phone: 850-543-1366
Mrs. Patti Sue Swenson-abraham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Government Ave, Suite A, Niceville, FL 32578 Phone: 850-678-1846 Fax: 850-678-1853

Ruby Lisa Hawkins-jack, LCSW - Medicare Clinical Social Worker in Niceville, FL