Jacob James Fox, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Phoenix, Arizona. His current practice location is
1919 E Thomas Rd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 933-1000.
Jacob James Fox is licensed to practice in Arizona (license number LCSW-21769) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376895482.
Healthcare Provider's Profile
| Full Name | Jacob James Fox |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1919 E Thomas Rd, Phoenix, Arizona |
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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: 1376895482
- Provider Enumeration Date: 10/12/2012
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153776323
- Enrollment ID: I20231006002927
Medical Identifiers
Medical identifiers for Jacob James Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376895482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-21769 (Arizona) | 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. Jacob James Fox allows following entities to bill medicare on his behalf.
| Entity Name | Phoenix Children's Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
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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. Jacob James Fox 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 |
Jacob James Fox, LCSW 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124 | Jacob James Fox, LCSW 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-1000 |
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