Jacqueline Haskins, in Perrysburg, OH - Medicare Counselor Provider

Jacqueline Haskins, is a medicare enrolled "Counselor - Mental Health" provider in Perrysburg, Ohio. Her current practice location is 975 Commerce Dr, Perrysburg, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 874-8257.

Jacqueline Haskins is licensed to practice in Ohio (license number E.1901558) 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 1841999208.

Contact Information

	Jacqueline Haskins,
	975 Commerce Dr, Perrysburg, OH 43551-5228
	(419) 874-8257
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Haskins
Gender	Female
Speciality	Counselor - Mental Health
Location	975 Commerce Dr, Perrysburg, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841999208
Provider Enumeration Date: 02/24/2023
Last Update Date: 02/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5890132955
Enrollment ID: I20240325002409

Medical Identifiers

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

Identifier	Type	State	Issuer
1841999208	NPI	-	NPPES
341732773	Other	OH	TAX IDENTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E.1901558 (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. Jacqueline Haskins allows following entities to bill medicare on her behalf.

Entity Name	Fort Meigs Psychological Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649337817 PECOS PAC ID: 5799831624 Enrollment ID: O20090918000117

Entity Name	Fort Meigs Wellness & Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679323547 PECOS PAC ID: 3375983919 Enrollment ID: O20240430003713

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 Haskins 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 Haskins, 975 Commerce Dr, Perrysburg, OH 43551-5228 Ph: (419) 874-8257	Jacqueline Haskins, 975 Commerce Dr, Perrysburg, OH 43551-5228 Ph: (419) 874-8257

Reviews and Comments

Counselor in Perrysburg, OH

Mrs. Nirupma Jetley, LCDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 27072 Carronade Dr, Perrysburg, OH 43551 Phone: 419-872-2419 Fax: 419-720-5223
Mr. Richard Allan Hoernemann, LPC, LSW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 Commerce Dr, Perrysburg, OH 43551 Phone: 419-874-8257 Fax: 419-874-9960
Mrs. Gretchen Leu, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 W South Boundary St, Perrysburg, OH 43551 Phone: 419-874-3201 Fax: 419-874-1989
Haley Bok, Counselor Medicare: Not Enrolled in Medicare Practice Location: 885 Commerce Dr, Perrysburg, OH 43551 Phone: 440-260-6835
James Schultz Ii, LICDC-CS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 W South Boundary St, Suite 600, Perrysburg, OH 43551 Phone: 419-873-8280 Fax: 419-873-8320
Astasha Perrine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 W South Boundary St Bldg 6, Perrysburg, OH 43551 Phone: 614-339-0806
Mrs. Theresa Ann Mccarthy-acocks, ED.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 E 5th St, Perrysburg, OH 43551 Phone: 419-874-9127

Jacqueline Haskins, - Medicare Counselor in Perrysburg, OH