Mr Jacob M Bounds, MSW, LGSW in South Charleston, WV

Mr Jacob M Bounds, MSW, LGSW is a medicare enrolled "Social Worker - Clinical" provider in South Charleston, West Virginia. His current practice location is 1109 Jefferson Rd Ste C, South Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (877) 338-2725.

Mr Jacob M Bounds is licensed to practice in West Virginia (license number BP00945821) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154921799.

Contact Information

	Mr Jacob M Bounds, MSW, LGSW
	1109 Jefferson Rd Ste C, South Charleston, WV 25309-8815
	(877) 338-2725
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jacob M Bounds
Gender	Male
Speciality	Social Worker - Clinical
Location	1109 Jefferson Rd Ste C, South Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154921799
Provider Enumeration Date: 10/30/2020
Last Update Date: 02/01/2021

Medicare PECOS Information:

PECOS PAC ID: 9032523592
Enrollment ID: I20230803000692

Medical Identifiers

Medical identifiers for Mr Jacob M Bounds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154921799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0400X	Psychologist - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	SW062015550 (West Virginia)	Secondary
1041C0700X	Social Worker - Clinical	BP00945821 (West Virginia)	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. Mr Jacob M Bounds allows following entities to bill medicare on his behalf.

Entity Name	Devaraj Behavioral Healthcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093362840 PECOS PAC ID: 9234565649 Enrollment ID: O20200204000161

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. Mr Jacob M Bounds 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
Mr Jacob M Bounds, MSW, LGSW 1234 Stone Rd Apt A, Charleston, WV 25314-1881 Ph: (304) 989-1290	Mr Jacob M Bounds, MSW, LGSW 1109 Jefferson Rd Ste C, South Charleston, WV 25309-8815 Ph: (877) 338-2725

Reviews and Comments

Social Worker in South Charleston, WV

Brittany Danielle Franklin, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 527 2nd Ave, South Charleston, WV 25303 Phone: 681-341-2993
Mr. Waylon Allen Bryant, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1109 Jefferson Rd Ste C, South Charleston, WV 25309 Phone: 877-338-2725
Cristen Dawn Wyatt-young, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1109 Jefferson Rd Ste C, South Charleston, WV 25309 Phone: 877-338-2725
Ardith Payne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Technology Dr, South Charleston, WV 25309 Phone: 304-746-5300 Fax: 304-746-3912
Brenda Sue Carper, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099
Christy Lynn Haynes, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099
Carly Erin Costello, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 D St, South Charleston, WV 25303 Phone: 304-887-2994

Mr Jacob M Bounds, MSW, LGSW - Medicare Clinical Social Worker in South Charleston, WV