Jessica A Doran, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Mayo, Maryland. Her current practice location is
1157 Mayo Rd, Mayo, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 814-9649.
Jessica A Doran is licensed to practice in Maryland (license number LC12483) 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 1184258634.
Healthcare Provider's Profile
Full Name | Jessica A Doran |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1157 Mayo Rd, Mayo, Maryland |
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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: 1184258634
- Provider Enumeration Date: 02/24/2020
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567901507
- Enrollment ID: I20240822001369
Medical Identifiers
Medical identifiers for Jessica A Doran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184258634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LC12483 (Maryland) | 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. Jessica A Doran allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
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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. Jessica A Doran 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 |
Jessica A Doran, LCPC 1157 Mayo Rd, Mayo, MD 21106-9998 Ph: (443) 814-9649 | Jessica A Doran, LCPC 1157 Mayo Rd, Mayo, MD 21106-9998 Ph: (443) 814-9649 |
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