Jerrold Brown, LPC is a medicare enrolled "Counselor" provider in Fulton, Michigan. His current practice location is
1736 1 Mile Rd, Fulton, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 729-5292.
Jerrold Brown is licensed to practice in Michigan (license number 6401011317) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275964066.
Healthcare Provider's Profile
Full Name | Jerrold Brown |
---|
Gender | Male |
---|
Speciality | Counselor |
---|
Location | 1736 1 Mile Rd, Fulton, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275964066
- Provider Enumeration Date: 12/05/2013
- Last Update Date: 12/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 7719421056
- Enrollment ID: I20240627003529
Medical Identifiers
Medical identifiers for Jerrold Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275964066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 6401011317 (Michigan) | 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. Jerrold Brown allows following entities to bill medicare on his behalf.
Entity Name | Cornerstone Christian Counseling Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1508090911 PECOS PAC ID: 1052765674 Enrollment ID: O20230929001237 |
---|
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. Jerrold Brown 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 |
Jerrold Brown, LPC 1736 1 Mile Rd, Fulton, MI 49052-9612 Ph: (269) 729-5292 | Jerrold Brown, LPC 1736 1 Mile Rd, Fulton, MI 49052-9612 Ph: (269) 729-5292 |
Reviews and Comments