Teresa Jacobs-castano Pc - Medicare Mental Health Clinic in Laramie, WY

Teresa Jacobs-castano Pc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Laramie, Wyoming. The current practice location for Teresa Jacobs-castano Pc is 502 S 4th St, Laramie, Wyoming. For appointments, you can reach them via phone at (307) 755-1000. The mailing address for Teresa Jacobs-castano Pc is 502 S 4th St, Laramie, Wyoming and phone number is (307) 755-1000.

Teresa Jacobs-castano Pc is licensed to practice in Wyoming (license number LCSW 176). The clinic also participates in the medicare program and its NPI number is 1164650917. 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 (307) 755-1000.

Contact Information

Teresa Jacobs-castano Pc
502 S 4th St
Laramie
WY 82070-3704
(307) 755-1000
(307) 742-9717

Mental Health Clinic Profile

Full NameTeresa Jacobs-castano Pc
SpecialitySocial Worker
Location502 S 4th St, Laramie, Wyoming
Authorized Official Name and PositionTeresa Jacobs-castano (OWNER)
Authorized Official Contact3077551000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Teresa Jacobs-castano Pc
502 S 4th St
Laramie
WY 82070-3704

Ph: (307) 755-1000
Teresa Jacobs-castano Pc
502 S 4th St
Laramie
WY 82070-3704

Ph: (307) 755-1000

NPI Details:

NPI Number1164650917
Provider Enumeration Date06/30/2009
Last Update Date03/21/2019

Medicare PECOS Information:

Medicare PECOS PAC ID0244377323
Medicare Enrollment IDO20091021000772

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Medical Identifiers

Medical identifiers for Teresa Jacobs-castano Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164650917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LCSW 176 (Wyoming)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Teresa Jacobs-castano Pc acts as a billing entity for following providers:
Provider NameTeresa Jacobs Castano
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821215286
PECOS PAC ID: 6002953189
Enrollment ID: I20091021000726

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