Jennifer L South, PC in Bradford, PA - Medicare Counselor Provider

Jennifer L South, PC is a medicare enrolled "Counselor - Professional" provider in Bradford, Pennsylvania. Her current practice location is 110 Campus Dr, Bradford, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 362-6535.

Jennifer L South is licensed to practice in Pennsylvania (license number 25309452) 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 1114429131.

Contact Information

	Jennifer L South, PC
	110 Campus Dr, Bradford, PA 16701-1982
	(814) 362-6535
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer L South
Gender	Female
Speciality	Counselor - Professional
Location	110 Campus Dr, Bradford, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114429131
Provider Enumeration Date: 03/06/2018
Last Update Date: 04/25/2018

Medicare PECOS Information:

PECOS PAC ID: 7719339720
Enrollment ID: I20240116000639

Medical Identifiers

Medical identifiers for Jennifer L South such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114429131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PC004917 (Pennsylvania)	Secondary
101YP2500X	Counselor - Professional	25309452 (Pennsylvania)	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. Jennifer L South allows following entities to bill medicare on her behalf.

Entity Name	The Guidance Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831256015 PECOS PAC ID: 6103864681 Enrollment ID: O20050425000760

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. Jennifer L South 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
Jennifer L South, PC 110 Campus Dr, Bradford, PA 16701-1982 Ph: (814) 362-6535	Jennifer L South, PC 110 Campus Dr, Bradford, PA 16701-1982 Ph: (814) 362-6535

Reviews and Comments

Counselor in Bradford, PA

Shannon Mcandrew, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535
Michael Gallina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535
Kathleen M White, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Main St Rm 604, Bradford, PA 16701 Phone: 814-598-7053
Johnna Mccullough, Counselor Medicare: Medicare Enrolled Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535
Colleen Chahal, Counselor Medicare: Medicare Enrolled Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 Fax: 814-362-7358
Robert David Eddy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 E Main St, Bradford, PA 16701 Phone: 814-817-1400

Jennifer L South, PC - Medicare Counselor in Bradford, PA