Jordan Pangallo, LPCC, LICDC in Batavia, OH - Medicare Counselor Provider

Jordan Pangallo, LPCC, LICDC is a medicare enrolled "Counselor - Professional" provider in Batavia, Ohio. Her current practice location is 1100 Hospital Dr, Batavia, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 834-0763.

Jordan Pangallo is licensed to practice in Ohio (license number E.1700245) 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 1639616592.

Contact Information

	Jordan Pangallo, LPCC, LICDC
	1100 Hospital Dr, Batavia, OH 45103-1920
	(513) 834-0763
	(513) 873-1567

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Pangallo
Gender	Female
Speciality	Counselor - Professional
Location	1100 Hospital Dr, Batavia, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639616592
Provider Enumeration Date: 01/30/2017
Last Update Date: 01/23/2019

Medicare PECOS Information:

PECOS PAC ID: 8527410927
Enrollment ID: I20240122003353

Medical Identifiers

Medical identifiers for Jordan Pangallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639616592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.1700245 (Ohio)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	LICDC.161566 (Ohio)	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. Jordan Pangallo allows following entities to bill medicare on her behalf.

Entity Name	Recover Together Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346736758 PECOS PAC ID: 7810247533 Enrollment ID: O20230511001092

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. Jordan Pangallo 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
Jordan Pangallo, LPCC, LICDC 446 Morgan St, Cincinnati, OH 45206-2348 Ph: (513) 834-0763	Jordan Pangallo, LPCC, LICDC 1100 Hospital Dr, Batavia, OH 45103-1920 Ph: (513) 834-0763

Reviews and Comments

Counselor in Batavia, OH

Mrs. Sonja H. Cheatham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2337 Clermont Center Dr, Batavia, OH 45103 Phone: 513-732-8800 Fax: 513-732-8806
Kelsey Brummett, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Batavia, OH 45103 Phone: 833-510-4357 Fax: 866-459-6532
Alexis Deatherage, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Batavia, OH 45103 Phone: 513-834-7063 Fax: 513-873-1567
Skylar J Gould, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1088 Wasserman Way, Batavia, OH 45103 Phone: 513-735-8100
Lisa K Courter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1088 Wasserman Way, Batavia, OH 45103 Phone: 513-735-8100
Diamond Lee Amber Blevins, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Batavia, OH 45103 Phone: 513-834-7063 Fax: 513-873-1567
Stephanie R Picard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Hospital Dr, Batavia, OH 45103 Phone: 833-510-4357 Fax: 866-459-6532

Jordan Pangallo, LPCC, LICDC - Medicare Counselor in Batavia, OH