Sarah Jack Services, Llc - Medicare Mental Health Clinic in Teaneck, NJ

Sarah Jack Services, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Teaneck, New Jersey. The current practice location for Sarah Jack Services, Llc is 256 Sherman Ave, Teaneck, New Jersey. For appointments, you can reach them via phone at (917) 636-7740. The mailing address for Sarah Jack Services, Llc is 256 Sherman Ave, Teaneck, New Jersey and phone number is (917) 636-7740.

Sarah Jack Services, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164022083. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (917) 636-7740.

Contact Information

Sarah Jack Services, Llc
256 Sherman Ave
Teaneck
NJ 07666-3311
(917) 636-7740
Not Available

Mental Health Clinic Profile

Full NameSarah Jack Services, Llc
SpecialitySocial Worker
Location256 Sherman Ave, Teaneck, New Jersey
Authorized Official Name and PositionSarah Jack (OWNER)
Authorized Official Contact9176367740
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sarah Jack Services, Llc
256 Sherman Ave
Teaneck
NJ 07666-3311

Ph: (917) 636-7740
Sarah Jack Services, Llc
256 Sherman Ave
Teaneck
NJ 07666-3311

Ph: (917) 636-7740

NPI Details:

NPI Number1164022083
Provider Enumeration Date10/29/2020
Last Update Date10/29/2020
Certification Date10/29/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1052725199
Medicare Enrollment IDO20210201000467

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Medical Identifiers

Medical identifiers for Sarah Jack Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164022083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sarah Jack Services, Llc acts as a billing entity for following providers:
Provider NameSarah L Jack
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104324490
PECOS PAC ID: 5092147041
Enrollment ID: I20191113003325

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