Jacqueline Longley Benton, LGPC in Bel Air, MD

Jacqueline Longley Benton, LGPC is a medicare enrolled "Counselor - Professional" provider in Bel Air, Maryland. Her current practice location is 1208 E Churchville Rd Ste 300, Bel Air, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 893-4600.

Jacqueline Longley Benton is licensed to practice in Maryland (license number LC11602) 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 1588128292.

Contact Information

	Jacqueline Longley Benton, LGPC
	1208 E Churchville Rd Ste 300, Bel Air, MD 21014-3485
	(410) 893-4600
	(410) 640-4358

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Longley Benton
Gender	Female
Speciality	Counselor - Professional
Location	1208 E Churchville Rd Ste 300, Bel Air, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588128292
Provider Enumeration Date: 01/27/2019
Last Update Date: 06/30/2021

Medicare PECOS Information:

PECOS PAC ID: 0446692487
Enrollment ID: I20240522003504

Medical Identifiers

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

Identifier	Type	State	Issuer
1588128292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LGP6827 (Maryland)	Secondary
101YP2500X	Counselor - Professional	LC11602 (Maryland)	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 Longley Benton allows following entities to bill medicare on her behalf.

Entity Name	Safe Harbor Behavioral Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242

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 Longley Benton 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 Longley Benton, LGPC 726 Crown Park Ave, Gaithersburg, MD 20878-4515 Ph: (407) 376-8977	Jacqueline Longley Benton, LGPC 1208 E Churchville Rd Ste 300, Bel Air, MD 21014-3485 Ph: (410) 893-4600

Reviews and Comments

Counselor in Bel Air, MD

Stella Kamille Janell Harris, M.S., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 S Main St Ste 1d, Bel Air, MD 21014 Phone: 209-596-2045
Gisele Ray Thompson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Eastern Ave, Bel Air, MD 21014 Phone: 410-227-1766
Lacey Nichole Lovrich, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1208 E Churchville Rd Ste 300, Bel Air, MD 21014 Phone: 000-000-0000
Dr. Kristine Monique Hitchens, PHD, LCSW-C, LCADC Counselor Medicare: Medicare Enrolled Practice Location: 539 Rock Spring Rd, Bel Air, MD 21014 Phone: 443-466-8024
Mila Sandra Choei, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4c North Ave Ste 423, Bel Air, MD 21014 Phone: 410-695-9959
Mrs. Erin Fisher Hoffman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 E Pennsylvania Ave, Suite 101, Bel Air, MD 21014 Phone: 443-876-4186
Erica Michele Waskey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1212 E Churchville Rd Ste 200, Bel Air, MD 21014 Phone: 443-595-7627

Jacqueline Longley Benton, LGPC - Medicare Counselor in Bel Air, MD