Jamie Lee Henson, LICSW, LADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Saint Paul, Minnesota. His current practice location is
640 Jackson St, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 254-3118.
Jamie Lee Henson is licensed to practice in Minnesota (license number 304057) 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 1326685645.
Healthcare Provider's Profile
| Full Name | Jamie Lee Henson |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 640 Jackson St, Saint Paul, Minnesota |
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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: 1326685645
- Provider Enumeration Date: 12/05/2019
- Last Update Date: 12/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941638845
- Enrollment ID: I20200306001043
Medical Identifiers
Medical identifiers for Jamie Lee Henson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326685645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 18513 (Minnesota) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304057 (Minnesota) | 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. Jamie Lee Henson allows following entities to bill medicare on his behalf.
| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417 |
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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. Jamie Lee Henson 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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Jamie Lee Henson, LICSW, LADC
640 Jackson St,
Saint Paul, MN 55101-2502
Ph: (651) 254-3118 | Jamie Lee Henson, LICSW, LADC
640 Jackson St,
Saint Paul, MN 55101-2502
Ph: (651) 254-3118 |
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