Jasen F Jacobsen, is a medicare enrolled "Social Worker - Clinical" provider in Bentonville, Arkansas. His current practice location is
2508 Se 20th St, Bentonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 273-9088.
Jasen F Jacobsen is licensed to practice in * (Not Available) (license number ) 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 1659746618.
Healthcare Provider's Profile
Full Name | Jasen F Jacobsen |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 2508 Se 20th St, Bentonville, Arkansas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659746618
- Provider Enumeration Date: 12/02/2015
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840720058
- Enrollment ID: I20250203003340
Medical Identifiers
Medical identifiers for Jasen F Jacobsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659746618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
104100000X | Social Worker | 12323-M (Arkansas) | 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. Jasen F Jacobsen allows following entities to bill medicare on his behalf.
Entity Name | Ozark Guidance Center, Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380 |
---|
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. Jasen F Jacobsen 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 |
Jasen F Jacobsen, 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Jasen F Jacobsen, 2508 Se 20th St, Bentonville, AR 72712-4008 Ph: (479) 273-9088 |
Reviews and Comments