Mrs Sarah Marie Jaeck, APSW is a medicare enrolled "Social Worker - Clinical" provider in Mount Pleasant, Wisconsin. Her current practice location is
5735 Durand Ave, Mount Pleasant, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 598-1392.
Mrs Sarah Marie Jaeck is licensed to practice in Wisconsin (license number 9306) 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 1619480571.
Healthcare Provider's Profile
| Full Name | Mrs Sarah Marie Jaeck |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5735 Durand Ave, Mount Pleasant, Wisconsin |
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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: 1619480571
- Provider Enumeration Date: 11/14/2017
- Last Update Date: 03/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 8527490671
- Enrollment ID: I20191112001837
Medical Identifiers
Medical identifiers for Mrs Sarah Marie Jaeck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619480571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17770 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 130579 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9306 (Wisconsin) | 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 Sarah Marie Jaeck allows following entities to bill medicare on her behalf.
| Entity Name | Wellqor Psychological Services Of Wisconsin, S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194252742
PECOS PAC ID: 5991073868
Enrollment ID: O20170616002275 |
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| Entity Name | Wellqor Psychological Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063920841
PECOS PAC ID: 1658633292
Enrollment ID: O20230815003625 |
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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 Sarah Marie Jaeck 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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Mrs Sarah Marie Jaeck, APSW
5735 Durand Ave,
Mount Pleasant, WI 53406-5011
Ph: (262) 598-1392 | Mrs Sarah Marie Jaeck, APSW
5735 Durand Ave,
Mount Pleasant, WI 53406-5011
Ph: (262) 598-1392 |
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