Jacquette Shineese Brown, in Mesa, AZ - Medicare Counselor Provider

Jacquette Shineese Brown, is a medicare enrolled "Counselor - Mental Health" provider in Mesa, Arizona. Her current practice location is 1845 S Dobson Rd Ste 211, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 251-1575.

Jacquette Shineese Brown is licensed to practice in Arizona (license number LPC-18852) 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 1013543750.

Contact Information

	Jacquette Shineese Brown,
	1845 S Dobson Rd Ste 211, Mesa, AZ 85202-5663
	(520) 251-1575
	(520) 635-4758

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquette Shineese Brown
Gender	Female
Speciality	Counselor - Mental Health
Location	1845 S Dobson Rd Ste 211, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013543750
Provider Enumeration Date: 03/13/2020
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 5193175263
Enrollment ID: I20240102002534

Medical Identifiers

Medical identifiers for Jacquette Shineese Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013543750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401020212 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	LPC-18852 (Arizona)	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. Jacquette Shineese Brown allows following entities to bill medicare on her behalf.

Entity Name	Tusa Saddle Behavioral Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770260887 PECOS PAC ID: 2769835974 Enrollment ID: O20240124001554

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. Jacquette Shineese Brown 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
Jacquette Shineese Brown, 20987 N John Wayne Pkwy # B104-113, Maricopa, AZ 85139-2926 Ph: (520) 251-1575	Jacquette Shineese Brown, 1845 S Dobson Rd Ste 211, Mesa, AZ 85202-5663 Ph: (520) 251-1575

Reviews and Comments

Counselor in Mesa, AZ

Megan Feeney, MAFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 N. Florian Ave Bldg 1, Mesa, AZ 85206 Phone: 480-969-3800 Fax: 480-644-1557
Elbert Farmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 S Macdonald, Mesa, AZ 85210 Phone: 480-696-1471 Fax: 480-264-0687
Dr. Ronald Earl Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3846 E Dartmouth St, Mesa, AZ 85205 Phone: 480-229-1722
Dr. Lisa Loree Gold, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6106 E Brown Rd, Suite #102, Mesa, AZ 85205 Phone: 602-550-9393
Mrs. Tracy Kerr Carson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 S Alma School Rd, Suite 112, Mesa, AZ 85210 Phone: 480-730-6222
Roban Kubic, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 S Dobson Rd, Suite 104, Mesa, AZ 85202 Phone: 480-403-1651 Fax: 480-874-3767
Eric Felber, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 2204 S Dobson Rd Ste 102, Mesa, AZ 85202 Phone: 602-230-7373 Fax: 480-628-8577

Jacquette Shineese Brown, - Medicare Counselor in Mesa, AZ