Jennifer Pendarvis, LPC in Shawnee, KS - Medicare Counselor Provider

Jennifer Pendarvis, LPC is a medicare enrolled "Counselor - Professional" provider in Shawnee, Kansas. Her current practice location is 6440 Nieman Rd, Shawnee, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 826-4200.

Jennifer Pendarvis is licensed to practice in Kansas (license number 3342) 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 1447721196.

Contact Information

	Jennifer Pendarvis, LPC
	6440 Nieman Rd, Shawnee, KS 66203-3326
	(913) 826-4200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Pendarvis
Gender	Female
Speciality	Counselor - Professional
Location	6440 Nieman Rd, Shawnee, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447721196
Provider Enumeration Date: 12/06/2018
Last Update Date: 10/15/2020

Medicare PECOS Information:

PECOS PAC ID: 4082064811
Enrollment ID: I20231220001277

Medical Identifiers

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

Identifier	Type	State	Issuer
1447721196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3342 (Kansas)	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 Pendarvis allows following entities to bill medicare on her behalf.

Entity Name	Johnson County Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174513444 PECOS PAC ID: 0547156903 Enrollment ID: O20051112000009

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 Pendarvis 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 Pendarvis, LPC 6000 Lamar Ave Ste 130, Mission, KS 66202-3299 Ph: (913) 826-4200	Jennifer Pendarvis, LPC 6440 Nieman Rd, Shawnee, KS 66203-3326 Ph: (913) 826-4200

Reviews and Comments

Counselor in Shawnee, KS

Jennifer Melby, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200
Douglas Johnson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6221 Richards Dr, Shawnee, KS 66216 Phone: 913-248-1943 Fax: 913-248-1994
Kevin Ryan Kufeldt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200
Alexandria Wagner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200
Andrew Funk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 W 65th St, Shawnee, KS 66203 Phone: 913-826-4100
Kristy Mccollum-wachter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 W 65th St, Shawnee, KS 66203 Phone: 913-826-4200
Sue Jacobson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6221 Richards Dr, Shawnee, KS 66216 Phone: 913-248-1943 Fax: 913-248-1994

Jennifer Pendarvis, LPC - Medicare Counselor in Shawnee, KS