Jeanne Coulson, in Crystal Lake, IL - Medicare Counselor Provider

Jeanne Coulson, is a medicare enrolled "Counselor - Mental Health" provider in Crystal Lake, Illinois. Her current practice location is 360 Memorial Dr Ste 160, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 754-7398.

Jeanne Coulson is licensed to practice in Illinois (license number 178011217) 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 1972959377.

Contact Information

	Jeanne Coulson,
	360 Memorial Dr Ste 160, Crystal Lake, IL 60014-6203
	(847) 754-7398
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeanne Coulson
Gender	Female
Speciality	Counselor - Mental Health
Location	360 Memorial Dr Ste 160, Crystal Lake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972959377
Provider Enumeration Date: 05/04/2016
Last Update Date: 09/27/2024

Medicare PECOS Information:

PECOS PAC ID: 5092157602
Enrollment ID: I20240529000860

Medical Identifiers

Medical identifiers for Jeanne Coulson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972959377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	178011217 (Illinois)	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. Jeanne Coulson allows following entities to bill medicare on her behalf.

Entity Name	Real Life Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558936773 PECOS PAC ID: 0941642557 Enrollment ID: O20240529000646

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. Jeanne Coulson 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
Jeanne Coulson, 638 Vine St, Hampshire, IL 60140-5620 Ph: (847) 754-7394	Jeanne Coulson, 360 Memorial Dr Ste 160, Crystal Lake, IL 60014-6203 Ph: (847) 754-7398

Reviews and Comments

Counselor in Crystal Lake, IL

Ms. Kelly Lynne Canavan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E Terra Cotta Avenue, Unit 103, Crystal Lake, IL 60014 Phone: 815-979-2580 Fax: 815-354-3517
Jorge Roman, Counselor Medicare: Accepting Medicare Assignments Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-334-5018 Fax: 815-356-1104
Ms. Stacey A Coleman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Pyott Rd Ste 102, Crystal Lake, IL 60014 Phone: 815-444-9076 Fax: 815-444-9079
Mr. Frank Morales, CRADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Crystal Lake, IL 60014 Phone: 815-459-0499 Fax: 815-788-0115
Susan Charles, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 3, Crystal Lake, IL 60014 Phone: 815-981-1979
Meghan Joshi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014 Phone: 314-308-2722
Gabrielle Anne Johnson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Coventry Ln Ste 103, Crystal Lake, IL 60014 Phone: 847-778-6992

Jeanne Coulson, - Medicare Counselor in Crystal Lake, IL