Jody L Detwieler, LIMHP, LCSW in Grand Island, NE

Jody L Detwieler, LIMHP, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Grand Island, Nebraska. Her current practice location is 2608 Old Fair Rd, Grand Island, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 382-5297.

Jody L Detwieler is licensed to practice in * (Not Available) (license number ) 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 1962622746.

Contact Information

	Jody L Detwieler, LIMHP, LCSW
	2608 Old Fair Rd, Grand Island, NE 68803-5271
	(308) 382-5297
	(308) 382-5315

Map and Direction

Healthcare Provider's Profile

Full Name	Jody L Detwieler
Gender	Female
Speciality	Counselor - Mental Health
Location	2608 Old Fair Rd, Grand Island, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962622746
Provider Enumeration Date: 04/26/2007
Last Update Date: 04/12/2021

Medicare PECOS Information:

PECOS PAC ID: 6800204942
Enrollment ID: I20210409001058

Medical Identifiers

Medical identifiers for Jody L Detwieler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962622746	NPI	-	NPPES
10025173100	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary
1041C0700X	Social Worker - Clinical	2006022486 (Missouri)	Secondary

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. Jody L Detwieler allows following entities to bill medicare on her behalf.

Entity Name	Wholeness Healing Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124130364 PECOS PAC ID: 3173571320 Enrollment ID: O20050105000266

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. Jody L Detwieler 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
Jody L Detwieler, LIMHP, LCSW 2608 Old Fair Rd, Grand Island, NE 68803-5271 Ph: (308) 382-5297	Jody L Detwieler, LIMHP, LCSW 2608 Old Fair Rd, Grand Island, NE 68803-5271 Ph: (308) 382-5297

Reviews and Comments

Counselor in Grand Island, NE

Suzie Kurpgeweit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2112 W Faidley Ave, Grand Island, NE 68803 Phone: 308-398-5330 Fax: 308-398-5404
Linda Vejvoda, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3231 Ramada Rd Ste 9, Grand Island, NE 68801 Phone: 308-380-8338 Fax: 380-381-8041
David A. Rehovsky, MS,LMHP,PA Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 W Koenig St, Grand Island, NE 68801 Phone: 308-382-4495
Ms. Kara N Klinginsmith, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 914 Baumann Dr, Grand Island, NE 68803 Phone: 308-385-5252 Fax: 308-385-5271
Rita Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 914 Baumann Dr, Grand Island, NE 68803 Phone: 308-385-5250
Joshua Augustin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 914 Baumann Dr, Grand Island, NE 68803 Phone: 308-385-5250
Jennifer Patricia Cammon-larson, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 914 Baumann Dr, Grand Island, NE 68803 Phone: 308-385-5250 Fax: 308-385-5271

Jody L Detwieler, LIMHP, LCSW - Medicare Counselor in Grand Island, NE