Jennifer Noteboom, LPC is a medicare enrolled "Counselor - Professional" provider in Wagner, South Dakota. Her current practice location is
111 Washington Ave Nw, Wagner, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 384-4861.
Jennifer Noteboom is licensed to practice in South Dakota (license number LPC20549) 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 1215682133.
Healthcare Provider's Profile
Full Name | Jennifer Noteboom |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 111 Washington Ave Nw, Wagner, South Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215682133
- Provider Enumeration Date: 02/18/2022
- Last Update Date: 02/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769829266
- Enrollment ID: I20240320000475
Medical Identifiers
Medical identifiers for Jennifer Noteboom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215682133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC20549 (South Dakota) | 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 Noteboom allows following entities to bill medicare on her behalf.
Entity Name | Wagner Indian Health Service Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326066796 PECOS PAC ID: 6305758483 Enrollment ID: O20031105000746 |
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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 Noteboom 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 Noteboom, LPC 111 Washington Ave Nw, Wagner, SD 57380-4300 Ph: (605) 384-4861 | Jennifer Noteboom, LPC 111 Washington Ave Nw, Wagner, SD 57380-4300 Ph: (605) 384-4861 |
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