Jessica Mccallum, MA, LAC, NCC in Avondale, AZ

Jessica Mccallum, MA, LAC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Avondale, Arizona. Her current practice location is 235 W Western Ave, Avondale, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 230-7373.

Jessica Mccallum is licensed to practice in Arizona (license number LAC-18234) 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 1881204014.

Contact Information

	Jessica Mccallum, MA, LAC, NCC
	235 W Western Ave, Avondale, AZ 85323-1848
	(602) 230-7373
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Mccallum
Gender	Female
Speciality	Counselor - Mental Health
Location	235 W Western Ave, Avondale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881204014
Provider Enumeration Date: 08/03/2020
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 8921450891
Enrollment ID: I20240116002918

Medical Identifiers

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

Identifier	Type	State	Issuer
1881204014	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LAC-18234 (Arizona)	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 Mccallum allows following entities to bill medicare on her behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

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 Mccallum 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 Mccallum, MA, LAC, NCC 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373	Jessica Mccallum, MA, LAC, NCC 235 W Western Ave, Avondale, AZ 85323-1848 Ph: (602) 230-7373

Reviews and Comments

Counselor in Avondale, AZ

Ms. Margaret Frances Bauman, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd, Ste. G-7024, Avondale, AZ 85392 Phone: 602-258-6797 Fax: 623-936-4085
Dominiqiue Janay Jenkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392 Phone: 623-215-8189
Danielle Spies, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392 Phone: 623-215-8189
Deja Armstrong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392 Phone: 480-674-7618
Christiana Hines, Counselor Medicare: Medicare Enrolled Practice Location: 950 E Van Buren St, Avondale, AZ 85323 Phone: 623-687-1199
Erin Hammit, LPC Counselor Medicare: Medicare Enrolled Practice Location: 235 W Western Ave, Avondale, AZ 85323 Phone: 602-230-7373 Fax: 602-230-3086
Genesis Orozco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392 Phone: 623-215-8189

Jessica Mccallum, MA, LAC, NCC - Medicare Counselor in Avondale, AZ