Jessica Rae Conrad, LPC is a medicare enrolled "Counselor - Mental Health" provider in New Freedom, Pennsylvania. Her current practice location is
781 Far Hills Dr, New Freedom, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 812-2560.
Jessica Rae Conrad is licensed to practice in Pennsylvania (license number PC013195) 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 1093483273.
Healthcare Provider's Profile
| Full Name | Jessica Rae Conrad |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 781 Far Hills Dr, New Freedom, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093483273
- Provider Enumeration Date: 09/01/2021
- Last Update Date: 12/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264880038
- Enrollment ID: I20240305001734
Medical Identifiers
Medical identifiers for Jessica Rae Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093483273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | PC013195 (Pennsylvania) | 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 Rae Conrad allows following entities to bill medicare on her behalf.
| Entity Name | Wellspan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669770004
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815 |
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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 Rae Conrad 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 |
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Jessica Rae Conrad, LPC
601 Memory Ln,
York, PA 17402-2231
Ph: (717) 851-1405 | Jessica Rae Conrad, LPC
781 Far Hills Dr,
New Freedom, PA 17349-8447
Ph: (717) 812-2560 |
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