Jack Housworth, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Austin, Texas. He graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Galyon Counseling Services, Pllc and his current practice location is
403 E 15th St, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 472-4357.
Jack Housworth is licensed to practice in Texas (license number 60367) 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 1225319379.
Healthcare Provider's Profile
| Full Name | Jack Housworth |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 403 E 15th St, Austin, Texas |
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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 Housworth graduated from medical school in 2014
NPI Data:
- NPI Number: 1225319379
- Provider Enumeration Date: 09/02/2011
- Last Update Date: 01/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 8022358522
- Enrollment ID: I20190320000903
Medical Identifiers
Medical identifiers for Jack Housworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225319379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11262 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 60367 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Galyon Counseling Services, Pllc | 5799021986 | 3 |
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 Housworth allows following entities to bill medicare on his behalf.
| Entity Name | Bluebonnet Trails Community Mhmr Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730135864
PECOS PAC ID: 5799775409
Enrollment ID: O20040514000751 |
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| Entity Name | Galyon Counseling Services, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336618354
PECOS PAC ID: 5799021986
Enrollment ID: O20190109000562 |
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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 Housworth 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 |
|---|
Jack Housworth, LCSW, LCDC
1430 Collier St,
Austin, TX 78704-2911
Ph: (512) 472-4357 | Jack Housworth, LCSW, LCDC
403 E 15th St,
Austin, TX 78701-1437
Ph: (512) 472-4357 |
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