Jessica Dieteman, LMHC in Lackawanna, NY - Medicare Counselor Provider

Jessica Dieteman, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Lackawanna, New York. Her current practice location is 790 Ridge Rd, Lackawanna, New York. You can reach out to her office (for appointments etc.) via phone at (716) 828-9651.

Jessica Dieteman is licensed to practice in New York (license number 004561) 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 1043081367.

Contact Information

	Jessica Dieteman, LMHC
	790 Ridge Rd, Lackawanna, NY 14218-1629
	(716) 828-9651
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Dieteman
Gender	Female
Speciality	Counselor - Mental Health
Location	790 Ridge Rd, Lackawanna, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043081367
Provider Enumeration Date: 01/15/2024
Last Update Date: 01/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3577900828
Enrollment ID: I20240321002538

Medical Identifiers

Medical identifiers for Jessica Dieteman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043081367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	004561 (New York)	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 Dieteman allows following entities to bill medicare on her behalf.

Entity Name	Baker Hall
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669695391 PECOS PAC ID: 2062771702 Enrollment ID: O20180125001961

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 Dieteman 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 Dieteman, LMHC 790 Ridge Rd, Lackawanna, NY 14218-1629 Ph: (716) 828-9651	Jessica Dieteman, LMHC 790 Ridge Rd, Lackawanna, NY 14218-1629 Ph: (716) 828-9651

Reviews and Comments

Counselor in Lackawanna, NY

Virginia Beth Goodremote, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9700
Chris Ceness, LMHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 790 Ridge Road, Lackawanna, NY 14218 Phone: 716-828-9500
Ms. Marie Bakowski, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 2600 S Park Ave, Lackawanna Counseling, Lackawanna, NY 14218 Phone: 716-822-2117 Fax: 716-822-8165
Ms. Linda A Mccartan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9700
Kathryn Cooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9699
Chanel Day, Counselor Medicare: Not Enrolled in Medicare Practice Location: 790 Ridge Rd, Lackawanna, NY 14218 Phone: 716-867-8332

Jessica Dieteman, LMHC - Medicare Counselor in Lackawanna, NY