Jennifer Loeravasquez, in Fort Worth, TX - Medicare Counselor Provider

Jennifer Loeravasquez, is a medicare enrolled "Counselor - Professional" provider in Fort Worth, Texas. Her current practice location is 3840 Hulen St, Htn, Client Accounting, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 569-4300.

Jennifer Loeravasquez is licensed to practice in Texas (license number 67901) 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 1104254853.

Contact Information

	Jennifer Loeravasquez,
	3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107-7277
	(817) 569-4300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Loeravasquez
Gender	Female
Speciality	Counselor - Professional
Location	3840 Hulen St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104254853
Provider Enumeration Date: 10/16/2013
Last Update Date: 02/20/2014

Medicare PECOS Information:

PECOS PAC ID: 5496108458
Enrollment ID: I20240126000918

Medical Identifiers

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

Identifier	Type	State	Issuer
1104254853	NPI	-	NPPES
324246301	Medicaid	TX
833LPE	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	67901 (Texas)	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 Loeravasquez allows following entities to bill medicare on her behalf.

Entity Name	Blank Slate Therapy
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639539364 PECOS PAC ID: 5193069219 Enrollment ID: O20181130000750

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 Loeravasquez 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 Loeravasquez, Po Box 2603, Htn, Client Accounting, Fort Worth, TX 76113-2603 Ph: (817) 569-4300	Jennifer Loeravasquez, 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107-7277 Ph: (817) 569-4300

Reviews and Comments

Counselor in Fort Worth, TX

Jamie L Cole, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Case Management, Fort Worth, TX 76104 Phone: 682-885-3991
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Mrs. Kathleen Margaret Bass, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3901 Kirby Dr, #1014, Fort Worth, TX 76155 Phone: 817-915-0359
Felice Mayes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2928 W 5th St, Fort Worth, TX 76107 Phone: 817-332-6348 Fax: 817-332-6489
Jessica Batts, MA, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bridge St, Ste. 300, Fort Worth, TX 76112 Phone: 682-292-8413
Carrie Rimato, Counselor Medicare: Medicare Enrolled Practice Location: 9840 Gallatin Ln, Fort Worth, TX 76177 Phone: 979-236-8325
Brittany Leann Kirk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave Ste 2100, Fort Worth, TX 76104 Phone: 682-885-1480 Fax: 682-885-3600

Jennifer Loeravasquez, - Medicare Counselor in Fort Worth, TX