Mrs Jodie Kay Gaines, LCSW, LCAC is a medicare enrolled "Social Worker - Clinical" provider in South Bend, Indiana. Her current practice location is
1708 High St, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 406-6180.
Mrs Jodie Kay Gaines is licensed to practice in Indiana (license number 34011629A) 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 1669191490.
Healthcare Provider's Profile
Full Name | Mrs Jodie Kay Gaines |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1708 High St, South Bend, Indiana |
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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: 1669191490
- Provider Enumeration Date: 08/24/2022
- Last Update Date: 02/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618401977
- Enrollment ID: I20241108000579
Medical Identifiers
Medical identifiers for Mrs Jodie Kay Gaines such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669191490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001775A (Indiana) | Secondary |
1041C0700X | Social Worker - Clinical | 34011629A (Indiana) | 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. Mrs Jodie Kay Gaines allows following entities to bill medicare on her behalf.
Entity Name | Healthlinc Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
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Entity Name | Stable Gains Mental Health Service Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851196455 PECOS PAC ID: 8527589076 Enrollment ID: O20250312003903 |
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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. Mrs Jodie Kay Gaines 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 |
Mrs Jodie Kay Gaines, LCSW, LCAC 18352 Linden Rd, Argos, IN 46501-9714 Ph: (219) 307-0668 | Mrs Jodie Kay Gaines, LCSW, LCAC 1708 High St, South Bend, IN 46613-2633 Ph: (574) 406-6180 |
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