Jessica Lynne Haefner, MS LPC-MH, LPCC in Mobridge, SD

Jessica Lynne Haefner, MS LPC-MH, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Mobridge, South Dakota. Her current practice location is 1710 E Grand Xing, Mobridge, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 845-2058.

Jessica Lynne Haefner is licensed to practice in South Dakota (license number LPCMH2303) 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 1114339413.

Contact Information

	Jessica Lynne Haefner, MS LPC-MH, LPCC
	1710 E Grand Xing, Mobridge, SD 57601-1414
	(605) 845-2058
	(605) 845-2062

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Lynne Haefner
Gender	Female
Speciality	Counselor - Mental Health
Location	1710 E Grand Xing, Mobridge, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114339413
Provider Enumeration Date: 05/21/2014
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3779029095
Enrollment ID: I20240723003451

Medical Identifiers

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

Identifier	Type	State	Issuer
1114339413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPCMH2303 (South Dakota)	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 Lynne Haefner allows following entities to bill medicare on her behalf.

Entity Name	Support Circle Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457720476 PECOS PAC ID: 2961948286 Enrollment ID: O20240723003214

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 Lynne Haefner 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 Lynne Haefner, MS LPC-MH, LPCC 30780 128th St, Selby, SD 57472-5310 Ph: (605) 848-3349	Jessica Lynne Haefner, MS LPC-MH, LPCC 1710 E Grand Xing, Mobridge, SD 57601-1414 Ph: (605) 845-2058

Reviews and Comments

Counselor in Mobridge, SD

Ms. Ashley Dawn Geist, LPC-20667-SUPV Counselor Medicare: Not Enrolled in Medicare Practice Location: 1710 E Grand Xing, Mobridge, SD 57601 Phone: 605-845-2058
Ms. Faith Antoinette Laroche, NAACT Counselor Medicare: Not Enrolled in Medicare Practice Location: 12451 Highway 1806, Mobridge, SD 57601 Phone: 605-845-7181 Fax: 605-845-5072
Mrs. Courtney M Nicholson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12451 Hwy 1806, Mobridge, SD 57601 Phone: 605-845-7181 Fax: 605-845-5072
Mrs. Jenny Marie Larson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2019 Schirber Dr, Mobridge, SD 57601 Phone: 605-290-9491
Mr. Alfred T Smith, MSW, CSAC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Hwy 1806th, Mobridge, SD 57601 Phone: 605-845-7181 Fax: 605-845-5072
Carmen J. Cutt, CCDC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 12451 Highway 1806, Mobridge, SD 57601 Phone: 605-845-7181 Fax: 605-845-5072

Jessica Lynne Haefner, MS LPC-MH, LPCC - Medicare Counselor in Mobridge, SD