Jessica Marie Southard, in Reidsville, NC - Medicare Counselor Provider

Jessica Marie Southard, is a medicare enrolled "Counselor - Professional" provider in Reidsville, North Carolina. Her current practice location is 335 County Home Rd, Reidsville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 342-8316.

Jessica Marie Southard is licensed to practice in North Carolina (license number 14633) 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 1215492624.

Contact Information

	Jessica Marie Southard,
	335 County Home Rd, Reidsville, NC 27320-9694
	(336) 342-8316
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Marie Southard
Gender	Female
Speciality	Counselor - Professional
Location	335 County Home Rd, Reidsville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215492624
Provider Enumeration Date: 02/11/2019
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 7214376045
Enrollment ID: I20240412002622

Medical Identifiers

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

Identifier	Type	State	Issuer
1215492624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(North Carolina)	Secondary
101YP2500X	Counselor - Professional	14633 (North 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 Marie Southard allows following entities to bill medicare on her behalf.

Entity Name	Daymark Recovery Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213

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 Southard 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 Southard, 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100	Jessica Marie Southard, 335 County Home Rd, Reidsville, NC 27320-9694 Ph: (336) 342-8316

Reviews and Comments

Counselor in Reidsville, NC

Karlene Chanell Figueroa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 County Home Rd, Reidsville, NC 27320 Phone: 336-342-8316
Mr. David Jan Mitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3580 Nc Highway 14, Reidsville, NC 27320 Phone: 336-587-2931
Tanya Allen-burris, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 696 S Scales St, Reidsville, NC 27320 Phone: 833-510-4357
Ms. Valerie Presley, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 513 S Main St, Suite 200, Reidsville, NC 27320 Phone: 336-347-7415 Fax: 336-347-7419
Seth Peter Cole, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2771 Nc Highway 14, Reidsville, NC 27320 Phone: 336-522-5095 Fax: 336-450-4440
Ms. Kasie Sands, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Nc Highway 65, Reidsville, NC 27320 Phone: 336-342-5756

Jessica Marie Southard, - Medicare Counselor in Reidsville, NC