Jackolyn Marie Stallard, BA, CT in Zanesville, OH

Jackolyn Marie Stallard, BA, CT is a medicare enrolled "Counselor - Mental Health" provider in Zanesville, Ohio. Her current practice location is 2845 Bell St, Zanesville, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 454-9766.

Jackolyn Marie Stallard is licensed to practice in Ohio (license number C.2002240-TRNE) 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 1245852276.

Contact Information

	Jackolyn Marie Stallard, BA, CT
	2845 Bell St, Zanesville, OH 43701-1720
	(740) 454-9766
	(740) 588-6452

Map and Direction

Healthcare Provider's Profile

Full Name	Jackolyn Marie Stallard
Gender	Female
Speciality	Counselor - Mental Health
Location	2845 Bell St, Zanesville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245852276
Provider Enumeration Date: 05/13/2020
Last Update Date: 05/13/2020

Medicare PECOS Information:

PECOS PAC ID: 7315486883
Enrollment ID: I20240828002187

Medical Identifiers

Medical identifiers for Jackolyn Marie Stallard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245852276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C.2002240-TRNE (Ohio)	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. Jackolyn Marie Stallard allows following entities to bill medicare on her behalf.

Entity Name	Southeast Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932169497 PECOS PAC ID: 8426014853 Enrollment ID: O20041207000632

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. Jackolyn Marie Stallard 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
Jackolyn Marie Stallard, BA, CT 2845 Bell St, Zanesville, OH 43701-1720 Ph: (740) 454-9766	Jackolyn Marie Stallard, BA, CT 2845 Bell St, Zanesville, OH 43701-1720 Ph: (740) 454-9766

Reviews and Comments

Counselor in Zanesville, OH

Monica M Vannort, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2845 Bell St, Zanesville, OH 43701 Phone: 740-454-9766 Fax: 740-588-6452
Randa Lee Harrop, LCDC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2572 Maple Ave, Zanesville, OH 43701 Phone: 513-834-7063
Jon Adkins, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Muskingum Ave, Zanesville, OH 43701 Phone: 740-487-3000
Lisa Morris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Underwood St, Zanesville, OH 43701 Phone: 740-454-1266
Tracey Orr, Counselor Medicare: Medicare Enrolled Practice Location: 930 Bethesda Dr, Suite 4, Zanesville, OH 43701 Phone: 740-569-5737 Fax: 740-569-5716
Echo Schriner, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1590 Coal Run Rd, Zanesville, OH 43701 Phone: 740-297-4417 Fax: 740-487-1461
Jaycie Lynn Evec, LSW, LCDC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Adair Ave, Zanesville, OH 43701 Phone: 740-891-9000

Jackolyn Marie Stallard, BA, CT - Medicare Counselor in Zanesville, OH