Jacqueline Anne Maple, LMHC, MCAP in Palm Bay, FL

Jacqueline Anne Maple, LMHC, MCAP is a medicare enrolled "Counselor - Mental Health" provider in Palm Bay, Florida. Her current practice location is 827 Toluca St Se, Palm Bay, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 272-1371.

Jacqueline Anne Maple is licensed to practice in Florida (license number IMH14960) 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 1356863823.

Contact Information

	Jacqueline Anne Maple, LMHC, MCAP
	827 Toluca St Se, Palm Bay, FL 32909-7420
	(321) 272-1371
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Anne Maple
Gender	Female
Speciality	Counselor - Mental Health
Location	827 Toluca St Se, Palm Bay, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356863823
Provider Enumeration Date: 07/17/2017
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 1850749763
Enrollment ID: I20231201002101

Medical Identifiers

Medical identifiers for Jacqueline Anne Maple such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356863823	NPI	-	NPPES
MCAP100566	Other	FL	FL CERTIFICATION BOARD
MH16368	Other	FL	STATE OF FL DOH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMH14960 (Florida)	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. Jacqueline Anne Maple allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688

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. Jacqueline Anne Maple 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
Jacqueline Anne Maple, LMHC, MCAP 827 Toluca St Se, Palm Bay, FL 32909-7420 Ph: (321) 272-1371	Jacqueline Anne Maple, LMHC, MCAP 827 Toluca St Se, Palm Bay, FL 32909-7420 Ph: (321) 272-1371

Reviews and Comments

Counselor in Palm Bay, FL

Cliff R Valentine, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Robert J Conlan Blvd Ne, Suite 200, Palm Bay, FL 32905 Phone: 321-723-8823 Fax: 321-723-9551
Shannon Patricia Green, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 490 Centre Lake Dr Ne, Suite 150, Palm Bay, FL 32907 Phone: 321-768-6420 Fax: 321-768-6324
Ms. Marjorie Elane Mitchell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1450 Deming Dr Se, Palm Bay, FL 32909 Phone: 321-419-6506
Nanette Sebrena Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1550 Orange Blossom Trl Ne, Palm Bay, FL 32905 Phone: 321-698-2366
Madison Chambers, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2123 Franklin Dr Ne, Palm Bay, FL 32905 Phone: 321-724-1614 Fax: 321-722-3590
Angela Marie Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 Mayfair St Se, Palm Bay, FL 32909 Phone: 423-650-5269
Glenn Arnold, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2198 Harris Ave Ne, Palm Bay, FL 32905 Phone: 321-951-9750

Jacqueline Anne Maple, LMHC, MCAP - Medicare Counselor in Palm Bay, FL