Jarodd Walter Hundley, LPC in San Antonio, TX

Jarodd Walter Hundley, LPC is a medicare enrolled "Counselor - Mental Health" provider in San Antonio, Texas. His current practice location is 4040 Broadway Ste 200, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (877) 504-8504.

Jarodd Walter Hundley is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124500756.

Contact Information

	Jarodd Walter Hundley, LPC
	4040 Broadway Ste 200, San Antonio, TX 78209-6300
	(877) 504-8504
	(855) 420-6402

Map and Direction

Healthcare Provider's Profile

Full Name	Jarodd Walter Hundley
Gender	Male
Speciality	Counselor - Mental Health
Location	4040 Broadway Ste 200, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124500756
Provider Enumeration Date: 08/30/2018
Last Update Date: 05/17/2022

Medicare PECOS Information:

PECOS PAC ID: 5395187983
Enrollment ID: I20240528003903

Medical Identifiers

Medical identifiers for Jarodd Walter Hundley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124500756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Jarodd Walter Hundley allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

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. Jarodd Walter Hundley 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
Jarodd Walter Hundley, LPC 14200 Vance Jackson Rd Apt 22308, San Antonio, TX 78249-1970 Ph: (318) 201-2962	Jarodd Walter Hundley, LPC 4040 Broadway Ste 200, San Antonio, TX 78209-6300 Ph: (877) 504-8504

Reviews and Comments

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Jarodd Walter Hundley, LPC - Medicare Counselor in San Antonio, TX