Jasen F Jacobsen, is a medicare enrolled "Social Worker - Clinical" provider in Bentonville, Arkansas. He graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Ozark Guidance Center, Inc and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659746618.
Healthcare Provider's Profile
| Full Name | Jasen F Jacobsen |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 4 Years |
|---|
| Location | 2508 Se 20th St, Bentonville, Arkansas |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Jasen F Jacobsen graduated from medical school in 2022
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ozark Guidance Center, Inc | 7214833730 | 30 |
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