Amy Jean Daum, LPC is a medicare enrolled "Counselor - Mental Health" provider in North Freedom, Wisconsin. Her current practice location is
S6202 County Road Pf, North Freedom, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 291-4066.
Amy Jean Daum is licensed to practice in Wisconsin (license number 8720-125) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922720671.
Healthcare Provider's Profile
Full Name | Amy Jean Daum |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | S6202 County Road Pf, North Freedom, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922720671
- Provider Enumeration Date: 09/19/2022
- Last Update Date: 03/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274978622
- Enrollment ID: I20240226002412
Medical Identifiers
Medical identifiers for Amy Jean Daum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922720671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 8720-125 (Wisconsin) | 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. Amy Jean Daum allows following entities to bill medicare on her behalf.
Entity Name | Meriter Hospital Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1548280225 PECOS PAC ID: 3971412735 Enrollment ID: O20031126000346 |
---|
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. Amy Jean Daum 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 |
Amy Jean Daum, LPC S6202 County Road Pf, North Freedom, WI 53951-9643 Ph: (608) 291-4066 | Amy Jean Daum, LPC S6202 County Road Pf, North Freedom, WI 53951-9643 Ph: (608) 291-4066 |
Reviews and Comments