Jasmine Lynn Pope, LISW, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Toledo, Ohio. Her current practice location is
4334 W Central Ave Ste 203, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 239-4079.
Jasmine Lynn Pope is licensed to practice in Ohio (license number I.1801300) 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 1841711314.
Healthcare Provider's Profile
| Full Name | Jasmine Lynn Pope |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4334 W Central Ave Ste 203, Toledo, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841711314
- Provider Enumeration Date: 07/05/2017
- Last Update Date: 02/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 8921365750
- Enrollment ID: I20171201002226
Medical Identifiers
Medical identifiers for Jasmine Lynn Pope such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841711314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161675 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1801300 (Ohio) | 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. Jasmine Lynn Pope allows following entities to bill medicare on her behalf.
| Entity Name | Blessings In Disguize |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205354305
PECOS PAC ID: 7012274848
Enrollment ID: O20171201002120 |
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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. Jasmine Lynn Pope 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 |
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Jasmine Lynn Pope, LISW, LICDC
1805 Fairfax Rd,
Toledo, OH 43613-5211
Ph: (419) 239-4079 | Jasmine Lynn Pope, LISW, LICDC
4334 W Central Ave Ste 203,
Toledo, OH 43615-1679
Ph: (419) 239-4079 |
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