Jeannie Rebecca Tucker, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Monticello, Arkansas. Her current practice location is
790 Roberts Dr, Monticello, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 367-2461.
Jeannie Rebecca Tucker is licensed to practice in Arkansas (license number 5956-C) 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 1891942975.
Healthcare Provider's Profile
| Full Name | Jeannie Rebecca Tucker |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 790 Roberts Dr, Monticello, Arkansas |
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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: 1891942975
- Provider Enumeration Date: 08/20/2008
- Last Update Date: 08/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 4688978737
- Enrollment ID: I20160210000521
Medical Identifiers
Medical identifiers for Jeannie Rebecca Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891942975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5956-C (Arkansas) | 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. Jeannie Rebecca Tucker allows following entities to bill medicare on her behalf.
| Entity Name | Delta Counseling Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053364612 PECOS PAC ID: 1850377508 Enrollment ID: O20040624001643 |
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| Entity Name | Drew Memorial Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487909701 PECOS PAC ID: 6002066503 Enrollment ID: O20121025000656 |
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| Entity Name | Healing Hands Addiction Centers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659980159 PECOS PAC ID: 7911317581 Enrollment ID: O20201110002589 |
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| Entity Name | Brightside Medical Of Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230821000585 |
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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. Jeannie Rebecca Tucker 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 |
Jeannie Rebecca Tucker, LCSW 519 Spring Branch Dr, Monticello, AR 71655-3849 Ph: (870) 723-1404 | Jeannie Rebecca Tucker, LCSW 790 Roberts Dr, Monticello, AR 71655-5723 Ph: (870) 367-2461 |
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