Jacky Ann King, is a
Social Worker based in Payette, Idaho. Jacky Ann King is licensed to practice in * (Not Available) (license number ) and her current practice location is
250 S Main St, Payette, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 405-0020.
NPI number for Jacky Ann King is 1134875974 and her current mailing address is 9 N 3rd St W, Homedale, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134875974.
Healthcare Provider's Profile
| Full Name | Jacky Ann King |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 250 S Main St, Payette, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134875974
- Provider Enumeration Date: 03/01/2022
- Last Update Date: 03/01/2022
Medical Identifiers
Medical identifiers for Jacky Ann King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134875974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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. Jacky Ann King is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacky Ann King,
9 N 3rd St W,
Homedale, ID 83628-3133
Ph: (208) 870-2729 | Jacky Ann King,
250 S Main St,
Payette, ID 83661-2853
Ph: (208) 405-0020 |
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