Jillian C Brentzel, LCSW in Marietta, GA - Medicare Counselor Provider

Jillian C Brentzel, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Marietta, Georgia. Her current practice location is 2165 Wenlok Trl Ne, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (801) 413-3709.

Jillian C Brentzel is licensed to practice in Georgia (license number CSW007296) 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 1619742855.

Contact Information

	Jillian C Brentzel, LCSW
	2165 Wenlok Trl Ne, Marietta, GA 30066-4524
	(801) 413-3709
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jillian C Brentzel
Gender	Female
Speciality	Counselor - Mental Health
Location	2165 Wenlok Trl Ne, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619742855
Provider Enumeration Date: 11/17/2023
Last Update Date: 11/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7810340056
Enrollment ID: I20240124002491

Medical Identifiers

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

Identifier	Type	State	Issuer
1619742855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CSW007296 (Georgia)	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 C Brentzel allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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 C Brentzel 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 C Brentzel, LCSW 2165 Wenlok Trl Ne, Marietta, GA 30066-4524 Ph: (801) 413-3709	Jillian C Brentzel, LCSW 2165 Wenlok Trl Ne, Marietta, GA 30066-4524 Ph: (801) 413-3709

Reviews and Comments

Counselor in Marietta, GA

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Jillian C Brentzel, LCSW - Medicare Counselor in Marietta, GA