Jasodra Suba, in Ocoee, FL - Medicare Counselor Provider

Jasodra Suba, is a medicare enrolled "Counselor - Mental Health" provider in Ocoee, Florida. Her current practice location is 1572 Citrus Medical Ct, Ocoee, Florida. You can reach out to her office (for appointments etc.) via phone at (855) 501-1004.

Jasodra Suba is licensed to practice in Florida (license number MH20684) 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 1659730877.

Contact Information

	Jasodra Suba,
	1572 Citrus Medical Ct, Ocoee, FL 34761-4547
	(855) 501-1004
	(866) 456-9587

Map and Direction

Healthcare Provider's Profile

Full Name	Jasodra Suba
Gender	Female
Speciality	Counselor - Mental Health
Location	1572 Citrus Medical Ct, Ocoee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659730877
Provider Enumeration Date: 02/16/2016
Last Update Date: 10/31/2024

Medicare PECOS Information:

PECOS PAC ID: 8224488366
Enrollment ID: I20240102001548

Medical Identifiers

Medical identifiers for Jasodra Suba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659730877	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMH13823 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	MH13823 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	MH20684 (Florida)	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. Jasodra Suba allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590

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: O20210414000053

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. Jasodra Suba 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
Jasodra Suba, 3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954 Ph: (916) 576-7900	Jasodra Suba, 1572 Citrus Medical Ct, Ocoee, FL 34761-4547 Ph: (855) 501-1004

Reviews and Comments

Counselor in Ocoee, FL

Melissa Bellamy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Hire Cir, Ocoee, FL 34761 Phone: 321-274-7986
Amelia Gillis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2704 Rew Cir Ste 105f, Ocoee, FL 34761 Phone: 321-436-8445 Fax: 407-298-9166
Kisha Campbell-wilson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1611 Regal River Cir, Ocoee, FL 34761 Phone: 407-470-2307
Nichole Mckenzie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3200 Old Winter Garden Rd Apt 1822, Ocoee, FL 34761 Phone: 216-390-1044
Brett Baker Vitkun, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 529 E Crown Point Rd Ste 120, Ocoee, FL 34761 Phone: 321-380-1529
Ms. Maude Line Louis, M.ED., C.M.H.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3432 Meadow Breeze Loop, Ocoee, FL 34761 Phone: 772-209-2106
Ashley Elizabeth Neri, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10125 W Colonial Dr Ste 212, Ocoee, FL 34761 Phone: 407-753-7441

Jasodra Suba, - Medicare Counselor in Ocoee, FL