Jessica Green, LPC in Hartsville, SC - Medicare Counselor Provider

Jessica Green, LPC is a medicare enrolled "Counselor - Mental Health" provider in Hartsville, South Carolina. Her current practice location is 1268 S 4th St, Hartsville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 332-3422.

Jessica Green is licensed to practice in South Carolina (license number 6910) 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 1104221811.

Contact Information

	Jessica Green, LPC
	1268 S 4th St, Hartsville, SC 29550-0703
	(843) 332-3422
	(843) 332-3985

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Green
Gender	Female
Speciality	Counselor - Mental Health
Location	1268 S 4th St, Hartsville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104221811
Provider Enumeration Date: 10/24/2014
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8325488968
Enrollment ID: I20240430003515

Medical Identifiers

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

Identifier	Type	State	Issuer
1104221811	NPI	-	NPPES
PC1862	Medicaid	SC
SCS668	Other	SC	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6910 (South Carolina)	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 Green allows following entities to bill medicare on her behalf.

Entity Name	Caresouth Carolina Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280

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 Green 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 Green, LPC Po Box 1090, Hartsville, SC 29551-1090 Ph: (843) 857-0111	Jessica Green, LPC 1268 S 4th St, Hartsville, SC 29550-0703 Ph: (843) 332-3422

Reviews and Comments

Counselor in Hartsville, SC

Eric Radcliff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 E. Carolina Ave., Hartsville, SC 29550 Phone: 843-332-4156
Taylor Pederson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S 4th St, Hartsville, SC 29550 Phone: 843-332-4141
Mr. Thomas Blackmon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Carolina Ave, Hartsville, SC 29550 Phone: 843-332-4141
Mr. Lentheus Mcalister, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Carolina Ave, Hartsville, SC 29550 Phone: 843-332-4141
Angela Wellman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 E Carolina Ave, Hartsville, SC 29550 Phone: 843-857-0074 Fax: 843-857-0081
Brittany Cranford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1451 Retail Row, Hartsville, SC 29550 Phone: 843-383-4848 Fax: 843-383-4828
Kadeshia Mack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1451 Retail Row, Hartsville, SC 29550 Phone: 843-383-4848 Fax: 843-383-4828

Jessica Green, LPC - Medicare Counselor in Hartsville, SC