Jacqueline Espinal, LMHC in Sanford, FL - Medicare Counselor Provider

Jacqueline Espinal, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Sanford, Florida. Her current practice location is 722 Trade Way, Sanford, Florida. You can reach out to her office (for appointments etc.) via phone at (833) 769-3524.

Jacqueline Espinal is licensed to practice in Florida (license number MH16350) 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 1801212576.

Contact Information

	Jacqueline Espinal, LMHC
	722 Trade Way, Sanford, FL 32771-8657
	(833) 769-3524
	(407) 915-4387

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Espinal
Gender	Female
Speciality	Counselor - Mental Health
Location	722 Trade Way, Sanford, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801212576
Provider Enumeration Date: 03/05/2014
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 5193176709
Enrollment ID: I20240108006270

Medical Identifiers

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

Identifier	Type	State	Issuer
1801212576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH16350 (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 Espinal 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 Espinal 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 Espinal, LMHC 499 N State Road 434, Suite 2007, Altamonte Springs, FL 32714-2142 Ph: () -	Jacqueline Espinal, LMHC 722 Trade Way, Sanford, FL 32771-8657 Ph: (833) 769-3524

Reviews and Comments

Counselor in Sanford, FL

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Jacqueline B Quinn, Counselor Medicare: Not Enrolled in Medicare Practice Location: A New Perspective Counseling Center, 1209 E 2nd Street, Sanford, FL 32771 Phone: 407-792-9000
Christie Tarpley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7202 Logan Heights Cir, Sanford, FL 32773 Phone: 407-259-6280

Jacqueline Espinal, LMHC - Medicare Counselor in Sanford, FL