Jillian Broeckert, LCMHC in Saint George, UT - Medicare Counselor Provider

Jillian Broeckert, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Saint George, Utah. Her current practice location is 1420 W 360 N, Saint George, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 359-6798.

Jillian Broeckert is licensed to practice in Utah (license number 8390625-6004) 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 1740646785.

Contact Information

	Jillian Broeckert, LCMHC
	1420 W 360 N, Saint George, UT 84770-4653
	(435) 359-6798
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jillian Broeckert
Gender	Female
Speciality	Counselor - Mental Health
Location	1420 W 360 N, Saint George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740646785
Provider Enumeration Date: 01/06/2016
Last Update Date: 01/06/2016

Medicare PECOS Information:

PECOS PAC ID: 7113362625
Enrollment ID: I20240223002672

Medical Identifiers

Medical identifiers for Jillian Broeckert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740646785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	8390625-6004 (Utah)	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. Jillian Broeckert allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230818003438

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. Jillian Broeckert 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
Jillian Broeckert, LCMHC 1420 W 360 N, Saint George, UT 84770-4653 Ph: (435) 359-6798	Jillian Broeckert, LCMHC 1420 W 360 N, Saint George, UT 84770-4653 Ph: (435) 359-6798

Reviews and Comments

Counselor in Saint George, UT

Christine Erickson, MA, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 E Tabernacle St, Suite 201, Saint George, UT 84770 Phone: 435-688-1111
Rachel Tegtmeyer, Counselor Medicare: Medicare Enrolled Practice Location: 33 S Acantilado Dr, Saint George, UT 84790 Phone: 515-320-5982
Austin Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1067 E Tabernacle St, Suite 7, Saint George, UT 84770 Phone: 801-255-5131
Dr. Knar Sanossian-gavin, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1282 Palmer Cir, Saint George, UT 84790 Phone: 435-216-2140
Landy Alger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 W 200 N # 300, Saint George, UT 84770 Phone: 435-634-5600
Michael Petersen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1067 E Tabernacle St, Suite 7, Saint George, UT 84770 Phone: 801-255-5131 Fax: 801-255-5131
Amanda Spigarelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 W 200 N # 300, Saint George, UT 84770 Phone: 435-634-5600 Fax: 435-986-8700

Jillian Broeckert, LCMHC - Medicare Counselor in Saint George, UT