Jacquelyn Suzanne Hicks, in Mason, MI - Medicare Counselor Provider

Jacquelyn Suzanne Hicks, is a medicare enrolled "Counselor" provider in Mason, Michigan. Her current practice location is 351 Coventry Ln, Mason, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 604-8083.

Jacquelyn Suzanne Hicks is licensed to practice in Michigan (license number 6401223031) 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 1447860689.

Contact Information

	Jacquelyn Suzanne Hicks,
	351 Coventry Ln, Mason, MI 48854-1162
	(517) 604-8083
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Suzanne Hicks
Gender	Female
Speciality	Counselor
Location	351 Coventry Ln, Mason, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447860689
Provider Enumeration Date: 08/03/2020
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 8224471644
Enrollment ID: I20240213001038

Medical Identifiers

Medical identifiers for Jacquelyn Suzanne Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447860689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	6401223031 (Michigan)	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. Jacquelyn Suzanne Hicks allows following entities to bill medicare on her behalf.

Entity Name	Jacqui Hicks Connective Healings Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891391066 PECOS PAC ID: 6507209921 Enrollment ID: O20240213000915

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. Jacquelyn Suzanne Hicks 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
Jacquelyn Suzanne Hicks, 351 Coventry Ln, Mason, MI 48854-1162 Ph: (517) 604-8083	Jacquelyn Suzanne Hicks, 351 Coventry Ln, Mason, MI 48854-1162 Ph: (517) 604-8083

Reviews and Comments

Counselor in Mason, MI

Ashleigh Pank, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 585 Jewett Rd, Mason, MI 48854 Phone: 517-676-5405 Fax: 517-676-5460
Ms. Amy Jane Matteson Zicafoose, MSW Counselor Medicare: Medicare Enrolled Practice Location: 2950 W Howell Rd, Mason, MI 48854 Phone: 517-367-0670
Terri Lynne Mcgarry, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 839 S Cedar St Ste 200, Mason, MI 48854 Phone: 517-507-0201 Fax: 517-507-0201
Mrs. Debra Ann O'berry, MA, LPC, CAAC Counselor Medicare: Medicare Enrolled Practice Location: 3827 W Howell Rd, Mason, MI 48854 Phone: 517-256-6751 Fax: 517-676-4941
Katharine Wise, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 839 S Cedar St Ste 100, Mason, MI 48854 Phone: 517-507-0201 Fax: 517-969-3555
Elizabeth Putnam, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Curtis St, Mason, MI 48854 Phone: 517-676-3401
Mrs. Jayde Kennedy-ball, PSD, LP Counselor Medicare: Accepting Medicare Assignments Practice Location: 3181 Sandhill Rd, Mason, MI 48854 Phone: 517-455-0258

Jacquelyn Suzanne Hicks, - Medicare Counselor in Mason, MI