Jakelynn Broeder, LIMHP, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kearney, Nebraska. Her current practice location is
5308 Parklane Dr, Kearney, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(308) 251-2222.
Jakelynn Broeder is licensed to practice in Nebraska (license number 2412) 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 1942925946.
Healthcare Provider's Profile
Full Name | Jakelynn Broeder |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5308 Parklane Dr, Kearney, Nebraska |
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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: 1942925946
- Provider Enumeration Date: 10/11/2022
- Last Update Date: 04/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698209526
- Enrollment ID: I20241114000702
Medical Identifiers
Medical identifiers for Jakelynn Broeder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942925946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 4016 (Nebraska) | Secondary |
1041C0700X | Social Worker - Clinical | 2412 (Nebraska) | 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. Jakelynn Broeder allows following entities to bill medicare on her behalf.
Entity Name | Elevate Counseling And Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487379483 PECOS PAC ID: 7911345244 Enrollment ID: O20240405002165 |
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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. Jakelynn Broeder 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 |
Jakelynn Broeder, LIMHP, LCSW 2121 W 39th St Apt 34, Kearney, NE 68845-1234 Ph: (308) 353-1278 | Jakelynn Broeder, LIMHP, LCSW 5308 Parklane Dr, Kearney, NE 68847-8630 Ph: (308) 251-2222 |
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