Jessica M Wallbrown, LPCC is a medicare enrolled "Counselor - Professional" provider in Deerfield, Ohio. Her current practice location is
1786 Mahoning Road, Deerfield, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 501-7658.
Jessica M Wallbrown is licensed to practice in Ohio (license number E.0008473) 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 1780019042.
Healthcare Provider's Profile
| Full Name | Jessica M Wallbrown |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 1786 Mahoning Road, Deerfield, Ohio |
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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: 1780019042
- Provider Enumeration Date: 09/05/2013
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668824442
- Enrollment ID: I20240117002380
Medical Identifiers
Medical identifiers for Jessica M Wallbrown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780019042 | NPI | - | NPPES |
| 0238485 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | E.0008473 (Ohio) | 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 M Wallbrown allows following entities to bill medicare on her behalf.
| Entity Name | All Things Creative Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295430353
PECOS PAC ID: 1759733538
Enrollment ID: O20240117002214 |
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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 M Wallbrown 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 M Wallbrown, LPCC
1786 Mahoning Road,
Deerfield, OH 44411
Ph: (330) 501-7658 | Jessica M Wallbrown, LPCC
1786 Mahoning Road,
Deerfield, OH 44411
Ph: (330) 501-7658 |
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