Jessica Lea Gentry, LPC, LMHC in Tampa, FL - Medicare Counselor Provider

Jessica Lea Gentry, LPC, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Tampa, Florida. Her current practice location is 7111 S Desoto St Ste A, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (512) 461-3834.

Jessica Lea Gentry is licensed to practice in Florida (license number 21122) 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 1215289202.

Contact Information

	Jessica Lea Gentry, LPC, LMHC
	7111 S Desoto St Ste A, Tampa, FL 33616-2103
	(512) 461-3834
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Lea Gentry
Gender	Female
Speciality	Counselor - Mental Health
Location	7111 S Desoto St Ste A, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215289202
Provider Enumeration Date: 10/15/2012
Last Update Date: 08/22/2022

Medicare PECOS Information:

PECOS PAC ID: 8729438627
Enrollment ID: I20231218004369

Medical Identifiers

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

Identifier	Type	State	Issuer
1215289202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	69489 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	21122 (Florida)	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 Lea Gentry allows following entities to bill medicare on her behalf.

Entity Name	The Gulf Coast Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245285899 PECOS PAC ID: 6204821895 Enrollment ID: O20040414001641

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 Lea Gentry 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 Lea Gentry, LPC, LMHC 7111 S Desoto St, Tampa, FL 33616-2103 Ph: (512) 461-3834	Jessica Lea Gentry, LPC, LMHC 7111 S Desoto St Ste A, Tampa, FL 33616-2103 Ph: (512) 461-3834

Reviews and Comments

Counselor in Tampa, FL

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Jessica Lea Gentry, LPC, LMHC - Medicare Counselor in Tampa, FL