Jade M Brake, TLMLP in Ottawa, KS - Medicare Counselor Provider

Jade M Brake, TLMLP is a medicare enrolled "Counselor - Mental Health" provider in Ottawa, Kansas. Her current practice location is 2537 Eisenhower Rd, Ottawa, Kansas. You can reach out to her office (for appointments etc.) via phone at (785) 242-3780.

Jade M Brake is licensed to practice in Kansas (license number 2851) 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 1487149522.

Contact Information

	Jade M Brake, TLMLP
	2537 Eisenhower Rd, Ottawa, KS 66067-9482
	(785) 242-3780
	(785) 242-6397

Map and Direction

Healthcare Provider's Profile

Full Name	Jade M Brake
Gender	Female
Speciality	Counselor - Mental Health
Location	2537 Eisenhower Rd, Ottawa, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487149522
Provider Enumeration Date: 06/29/2018
Last Update Date: 06/29/2018

Medicare PECOS Information:

PECOS PAC ID: 7810247590
Enrollment ID: I20180829003650

Medical Identifiers

Medical identifiers for Jade M Brake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487149522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2851 (Kansas)	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. Jade M Brake allows following entities to bill medicare on her behalf.

Entity Name	Elizabeth Layton Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649296757 PECOS PAC ID: 1557255940 Enrollment ID: O20040209000253

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. Jade M Brake 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
Jade M Brake, TLMLP Po Box 677, Ottawa, KS 66067-0677 Ph: (785) 242-3780	Jade M Brake, TLMLP 2537 Eisenhower Rd, Ottawa, KS 66067-9482 Ph: (785) 242-3780

Reviews and Comments

Counselor in Ottawa, KS

Ms. Kim Leanne Bowers, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2704 Shawnee Rd, Ottawa, KS 66067 Phone: 620-364-1415
Shani Mccurry, LCP Counselor Medicare: Medicare Enrolled Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397
Rebecca Herrig, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6387
Charity Curtis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397
Amanda Halling, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397
Anna Wilkes, TLMLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397
Christine Schmitt, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067 Phone: 785-242-3780 Fax: 785-242-6397

Jade M Brake, TLMLP - Medicare Counselor in Ottawa, KS