Amy Adele Jacoby-loftis, LCSW / LMHP is a medicare enrolled "Social Worker - Clinical" provider in Bellevue, Nebraska. Her current practice location is
3672 Lexington Ave, Bellevue, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 243-1526.
Amy Adele Jacoby-loftis is licensed to practice in Nebraska (license number 1987) 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 1750088225.
Healthcare Provider's Profile
| Full Name | Amy Adele Jacoby-loftis |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3672 Lexington Ave, Bellevue, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750088225
- Provider Enumeration Date: 02/14/2023
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719352244
- Enrollment ID: I20230413002376
Medical Identifiers
Medical identifiers for Amy Adele Jacoby-loftis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750088225 | NPI | - | NPPES |
| 1265422562 | Other | NE | ASSOCIATED PROVIDER NPI |
| 1184332918 | Other | NE | CLINIC NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 5603 (Nebraska) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1987 (Nebraska) | 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. Amy Adele Jacoby-loftis allows following entities to bill medicare on her behalf.
| Entity Name | Pride Health Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184332918
PECOS PAC ID: 1153792478
Enrollment ID: O20230125000818 |
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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. Amy Adele Jacoby-loftis 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 |
|---|
Amy Adele Jacoby-loftis, LCSW / LMHP
812 N 48th St,
Omaha, NE 68132-2431
Ph: (402) 495-6990 | Amy Adele Jacoby-loftis, LCSW / LMHP
3672 Lexington Ave,
Bellevue, NE 68123-1321
Ph: (402) 243-1526 |
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