Jacob K Vickrey, LCSW in South Jordan, UT - Medicare Provider

Jacob K Vickrey, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Jordan, Utah. His current practice location is 10654 S River Heights Dr Ste 320, South Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 896-8133.

Jacob K Vickrey is licensed to practice in Utah (license number 9742056-3501) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053889501.

Contact Information

	Jacob K Vickrey, LCSW
	10654 S River Heights Dr Ste 320, South Jordan, UT 84095-5544
	(801) 896-8133
	Not Available

Healthcare Provider's Profile

Full Name	Jacob K Vickrey
Gender	Male
Speciality
Experience	Years
Location	10654 S River Heights Dr Ste 320, South Jordan, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob K Vickrey attended and graduated from in

NPI Data:

NPI Number: 1053889501
Provider Enumeration Date: 11/02/2018
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jacob K Vickrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053889501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9742056-3501 (Utah)	Primary

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. Jacob K Vickrey 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
Jacob K Vickrey, LCSW 14664 S Ward Hills Cir, Herriman, UT 84096-1256 Ph: (760) 792-3671	Jacob K Vickrey, LCSW 10654 S River Heights Dr Ste 320, South Jordan, UT 84095-5544 Ph: (801) 896-8133

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Social Worker in South Jordan, UT

Mr. Robert Wimmer, LCSW., MSCJA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10087 S Copper Pit Cir, South Jordan, UT 84095 Phone: 385-439-3674
Jory Woodrow Hatfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095 Phone: 801-302-3801 Fax: 801-302-7248
Chaylyn Engebretsen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11260 S River Heights Dr, South Jordan, UT 84095 Phone: 801-298-2000
Brooke Jensen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095 Phone: 801-302-3801
David O. Weber Iii, L.C.S.W./M.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9910 S Redwood Rd, South Jordan, UT 84095 Phone: 801-253-0770
Heather Shelline, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9550 S Kilmuir Cir, South Jordan, UT 84009 Phone: 801-696-8926

Jacob K Vickrey, LCSW - Medicare Clinical Social Worker in South Jordan, UT