Dr Jon Frederick, PHD, LPC in Denver, CO - Medicare Counselor Provider

Dr Jon Frederick, PHD, LPC is a medicare enrolled "Counselor - Professional" provider in Denver, Colorado. His current practice location is 155 S Madison St Ste 306, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at (725) 867-0252.

Dr Jon Frederick is licensed to practice in * (Not Available) (license number ) 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 1326634759.

Contact Information

	Dr Jon Frederick, PHD, LPC
	155 S Madison St Ste 306, Denver, CO 80209-3014
	(725) 867-0252
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jon Frederick
Gender	Male
Speciality	Counselor - Professional
Location	155 S Madison St Ste 306, Denver, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326634759
Provider Enumeration Date: 12/20/2020
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 3678917234
Enrollment ID: I20240222000841

Medical Identifiers

Medical identifiers for Dr Jon Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326634759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jon Frederick allows following entities to bill medicare on his behalf.

Entity Name	Polaris Partners Counseling And Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780099028 PECOS PAC ID: 2769892538 Enrollment ID: O20201105002183

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. Dr Jon Frederick 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
Dr Jon Frederick, PHD, LPC 3020 W 107th Pl Unit E, Westminster, CO 80031-7719 Ph: (725) 867-0252	Dr Jon Frederick, PHD, LPC 155 S Madison St Ste 306, Denver, CO 80209-3014 Ph: (725) 867-0252

Reviews and Comments

Counselor in Denver, CO

Ms. Leilani Tomo Blashill, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Bannock St., Denver, CO 80204 Phone: 303-504-1700 Fax: 303-733-8239
Ziphora Chaim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Suite 100, Denver, CO 80209 Phone: 303-603-3020
Keith Reid Kendall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Ste 100, Denver, CO 80209 Phone: 303-603-3020
Ronald J Meyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2130 Stout St, Denver, CO 80205 Phone: 303-312-9601
Dwayne K Harris, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Cherokee St, Denver, CO 80204 Phone: 303-436-6000
Amber L Surls, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8190 E 1st Ave, Suite 105, Denver, CO 80230 Phone: 303-731-8900 Fax: 303-367-7910
Mrs. Lucia Divieste-severtson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1740 Marion St, Denver, CO 80218 Phone: 720-412-7858

Dr Jon Frederick, PHD, LPC - Medicare Counselor in Denver, CO