Jacqueline Bondowski, LMHC, ATR-P in Fort Wayne, IN

Jacqueline Bondowski, LMHC, ATR-P is a medicare enrolled "Counselor - Mental Health" provider in Fort Wayne, Indiana. Her current practice location is 909 E State Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 373-5614.

Jacqueline Bondowski is licensed to practice in Indiana (license number 39004570A) 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 1679250252.

Contact Information

	Jacqueline Bondowski, LMHC, ATR-P
	909 E State Blvd, Fort Wayne, IN 46805-3458
	(260) 373-5614
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Bondowski
Gender	Female
Speciality	Counselor - Mental Health
Location	909 E State Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679250252
Provider Enumeration Date: 07/05/2023
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1850749219
Enrollment ID: I20231122002483

Medical Identifiers

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

Identifier	Type	State	Issuer
1679250252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39004570A (Indiana)	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 Bondowski allows following entities to bill medicare on her behalf.

Entity Name	Park Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306897004 PECOS PAC ID: 5991794794 Enrollment ID: O20041213000226

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 Bondowski 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 Bondowski, LMHC, ATR-P 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Jacqueline Bondowski, LMHC, ATR-P 909 E State Blvd, Fort Wayne, IN 46805-3458 Ph: (260) 373-5614

Reviews and Comments

Counselor in Fort Wayne, IN

Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778
Rachida Bejja, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10828 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-415-8267 Fax: 260-426-0270

Jacqueline Bondowski, LMHC, ATR-P - Medicare Counselor in Fort Wayne, IN