Jack Alan Gift, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Harrisville, Utah. He graduated from healthcare school in 1992 and has 34 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Talkspace Provider Network Pa and his current practice location is
313 W Concord Dr, Harrisville, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 814-7943.
Jack Alan Gift is licensed to practice in Utah (license number 7567279-3501) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588969190.
Healthcare Provider's Profile
| Full Name | Jack Alan Gift |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 34 Years |
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| Location | 313 W Concord Dr, Harrisville, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jack Alan Gift graduated from medical school in 1992
NPI Data:
- NPI Number: 1588969190
- Provider Enumeration Date: 01/13/2011
- Last Update Date: 07/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 3274755194
- Enrollment ID: I20141110001093
Medical Identifiers
Medical identifiers for Jack Alan Gift such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588969190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 75672796005 (Utah) | Secondary |
| 104100000X | Social Worker | 7567279-3502 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7567279-3501 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Talkspace Provider Network Pa | 5799136701 | 249 |
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. Jack Alan Gift allows following entities to bill medicare on his behalf.
| Entity Name | Talkspace Provider Network PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639814049
PECOS PAC ID: 5799136701
Enrollment ID: O20240917001000 |
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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. Jack Alan Gift 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 |
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Jack Alan Gift, LCSW
313 W Concord Dr,
Harrisville, UT 84404-2745
Ph: (801) 814-7943 | Jack Alan Gift, LCSW
313 W Concord Dr,
Harrisville, UT 84404-2745
Ph: (801) 814-7943 |
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