Jenna Marie Humphries, in Canton, OH - Medicare Counselor Provider

Jenna Marie Humphries, is a medicare enrolled "Counselor - Professional" provider in Canton, Ohio. Her current practice location is 624 Market Ave N, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 493-4553.

Jenna Marie Humphries is licensed to practice in * (Not Available) (license number ) 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 1760084222.

Contact Information

	Jenna Marie Humphries,
	624 Market Ave N, Canton, OH 44702-1017
	(330) 493-4553
	(330) 493-3761

Map and Direction

Healthcare Provider's Profile

Full Name	Jenna Marie Humphries
Gender	Female
Speciality	Counselor - Professional
Location	624 Market Ave N, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760084222
Provider Enumeration Date: 11/10/2020
Last Update Date: 11/13/2020

Medicare PECOS Information:

PECOS PAC ID: 6406208396
Enrollment ID: I20240116003513

Medical Identifiers

Medical identifiers for Jenna Marie Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760084222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (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. Jenna Marie Humphries allows following entities to bill medicare on her behalf.

Entity Name	Vista Psychological & Counseling Centre Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558535658 PECOS PAC ID: 2365517836 Enrollment ID: O20080818000573

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. Jenna Marie Humphries 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
Jenna Marie Humphries, 624 Market Ave N, Canton, OH 44702-1017 Ph: (330) 493-4553	Jenna Marie Humphries, 624 Market Ave N, Canton, OH 44702-1017 Ph: (330) 493-4553

Reviews and Comments

Counselor in Canton, OH

Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506
Zakree Buccitelli, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907

Jenna Marie Humphries, - Medicare Counselor in Canton, OH