Jenelle Coolidge, MS in Orlando, FL - Medicare Counselor Provider

Jenelle Coolidge, MS is a medicare enrolled "Counselor - Mental Health" provider in Orlando, Florida. Her current practice location is 6644 Vineland Rd, Suite 270, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (253) 310-3910.

Jenelle Coolidge is licensed to practice in Florida (license number MH21266) 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 1558776880.

Contact Information

	Jenelle Coolidge, MS
	6644 Vineland Rd, Suite 270, Orlando, FL 32819
	(253) 310-3910
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jenelle Coolidge
Gender	Female
Speciality	Counselor - Mental Health
Location	6644 Vineland Rd, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558776880
Provider Enumeration Date: 06/25/2014
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 5890133672
Enrollment ID: I20240329002678

Medical Identifiers

Medical identifiers for Jenelle Coolidge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558776880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMH19534 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	MH21266 (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. Jenelle Coolidge allows following entities to bill medicare on her behalf.

Entity Name	Thriving Lane
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376122515 PECOS PAC ID: 1355741083 Enrollment ID: O20210622001225

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. Jenelle Coolidge 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
Jenelle Coolidge, MS 6645 Vineland Rd Ste 270, Orlando, FL 32819-7840 Ph: (253) 310-3910	Jenelle Coolidge, MS 6644 Vineland Rd, Suite 270, Orlando, FL 32819 Ph: (253) 310-3910

Reviews and Comments

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Jenelle Coolidge, MS - Medicare Counselor in Orlando, FL