Jackelin Chavez Rueda, is a medicare enrolled "Social Worker - Clinical" provider in Lodi, California. Her current practice location is
1920 Tienda Dr. #101, Lodi, California. You can reach out to her office (for appointments etc.) via phone at
(209) 647-0398.
Jackelin Chavez Rueda is licensed to practice in * (Not Available) (license number ) 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 1376962308.
Healthcare Provider's Profile
| Full Name | Jackelin Chavez Rueda |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1920 Tienda Dr. #101, Lodi, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376962308
- Provider Enumeration Date: 04/07/2014
- Last Update Date: 11/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315470648
- Enrollment ID: I20241024004682
Medical Identifiers
Medical identifiers for Jackelin Chavez Rueda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376962308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Jackelin Chavez Rueda allows following entities to bill medicare on her behalf.
| Entity Name | County Of San Joaquin |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095 |
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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. Jackelin Chavez Rueda 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 |
Jackelin Chavez Rueda, P.o. Box 6779, Stockton, CA 95206 Ph: (209) 368-2532 | Jackelin Chavez Rueda, 1920 Tienda Dr. #101, Lodi, CA 95242 Ph: (209) 647-0398 |
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