Jessica Marie Davila, MS, LPC in Fairfield, CT

Jessica Marie Davila, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Fairfield, Connecticut. Her current practice location is 125 Penfield Rd, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 255-5777.

Jessica Marie Davila is licensed to practice in Connecticut (license number 005443) 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 1780339200.

Contact Information

	Jessica Marie Davila, MS, LPC
	125 Penfield Rd, Fairfield, CT 06824-6611
	(203) 255-5777
	(203) 259-9673

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Marie Davila
Gender	Female
Speciality	Counselor - Professional
Location	125 Penfield Rd, Fairfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780339200
Provider Enumeration Date: 02/14/2022
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 3870027121
Enrollment ID: I20241111000237

Medical Identifiers

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

Identifier	Type	State	Issuer
1780339200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4145 (Connecticut)	Secondary
101YP2500X	Counselor - Professional	005443 (Connecticut)	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 Marie Davila allows following entities to bill medicare on her behalf.

Entity Name	Lifebridge Community Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922006923 PECOS PAC ID: 4981595618 Enrollment ID: O20040323000475

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 Marie Davila 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 Marie Davila, MS, LPC 475 Clinton Ave, Bridgeport, CT 06605-1700 Ph: (203) 255-5777	Jessica Marie Davila, MS, LPC 125 Penfield Rd, Fairfield, CT 06824-6611 Ph: (203) 255-5777

Reviews and Comments

Counselor in Fairfield, CT

Jody Michael Koval, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Kings Highway East, Suite 108, E12, Fairfield, CT 06825 Phone: 203-918-8025
Kathleen Early, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 54 Miller St, Fairfield, CT 06824 Phone: 516-477-4072
Matthew Roberto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1525 Kings Hwy, Suite 206, Fairfield, CT 06824 Phone: 203-220-6595
Mrs. Madeline M Bellamy, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Penfield Rd, Fairfield, CT 06824 Phone: 203-368-5647
Jeffrey Labella, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1463 Black Rock Tpke Apt 11, Fairfield, CT 06825 Phone: 203-556-2227
Jodie Rinde, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1214 Post Rd, Fairfield, CT 06824 Phone: 203-451-8017
Ms. Michelle Adelman, M.S.ED., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 183 Sherman St, Fairfield, CT 06824 Phone: 203-683-8288

Jessica Marie Davila, MS, LPC - Medicare Counselor in Fairfield, CT