Jack Basten, in Platteville, WI - Medicare Counselor Provider

Jack Basten, is a medicare enrolled "Counselor - Mental Health" provider in Platteville, Wisconsin. His current practice location is 1155 N Elm St Ste 120, Platteville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 348-4060.

Jack Basten 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 1962967315.

Contact Information

	Jack Basten,
	1155 N Elm St Ste 120, Platteville, WI 53818-1207
	(608) 348-4060
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jack Basten
Gender	Male
Speciality	Counselor - Mental Health
Location	1155 N Elm St Ste 120, Platteville, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962967315
Provider Enumeration Date: 02/08/2019
Last Update Date: 02/08/2019

Medicare PECOS Information:

PECOS PAC ID: 7618320482
Enrollment ID: I20240502001953

Medical Identifiers

Medical identifiers for Jack Basten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962967315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Jack Basten allows following entities to bill medicare on his behalf.

Entity Name	Platteville Family Resource Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477661692 PECOS PAC ID: 0042295016 Enrollment ID: O20040623000422

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. Jack Basten 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
Jack Basten, 1155 N Elm St Ste 120, Platteville, WI 53818-1207 Ph: (608) 348-4060	Jack Basten, 1155 N Elm St Ste 120, Platteville, WI 53818-1207 Ph: (608) 348-4060

Reviews and Comments

Counselor in Platteville, WI

Dr. Richard Hodges Jr., PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6058 S. Chestnut St., Suite 100, Platteville, WI 53818 Phone: 608-342-4853
Candace Ann Bolton-flynn, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6058 S Chestnut St, Suite 100, Platteville, WI 53818 Phone: 608-342-4863
Mr. David Troy Whiteman, MSE, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 N Elm St, Platteville, WI 53818 Phone: 608-348-4060 Fax: 608-348-4191
Amanda Wood, Counselor Medicare: Medicare Enrolled Practice Location: 20 S 4th St, Platteville, WI 53818 Phone: 608-291-6024 Fax: 608-291-6024
Ms. Rita M Udelhoven, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6861 N 2nd St, Platteville, WI 53818 Phone: 608-345-9124
Mr. Craig William Miller, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 S Water St Ste 3, Platteville, WI 53818 Phone: 608-348-5088 Fax: 608-348-3302
Kari Kaye-cattle Bell, LCSW, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 S Water St Ste 3, Platteville, WI 53818 Phone: 608-348-5088 Fax: 608-348-3302

Jack Basten, - Medicare Counselor in Platteville, WI