Lorri O Jacot, LAC is a medicare enrolled "Counselor - Mental Health" provider in Danville, Arkansas. Her current practice location is
730 Boston St, Danville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 495-5177.
Lorri O Jacot is licensed to practice in Arkansas (license number A1505066) 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 1760864680.
Healthcare Provider's Profile
| Full Name | Lorri O Jacot |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 730 Boston St, Danville, Arkansas |
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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: 1760864680
- Provider Enumeration Date: 06/27/2015
- Last Update Date: 06/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 5597293985
- Enrollment ID: I20250113003110
Medical Identifiers
Medical identifiers for Lorri O Jacot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760864680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | A1505066 (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. Lorri O Jacot allows following entities to bill medicare on her behalf.
| Entity Name | Real Development Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568943140
PECOS PAC ID: 1153751334
Enrollment ID: O20200501000640 |
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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. Lorri O Jacot 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 |
|---|
Lorri O Jacot, LAC
Po Box 679,
Morrilton, AR 72110-0679
Ph: (501) 354-4589 | Lorri O Jacot, LAC
730 Boston St,
Danville, AR 72833
Ph: (479) 495-5177 |
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