Jordan Pangallo-koprowski, LPCC, LICDC, LPC in Burlington, MA

Jordan Pangallo-koprowski, LPCC, LICDC, LPC is a medicare enrolled "Counselor - Professional" provider in Burlington, Massachusetts. Her current practice location is 111 S Bedford St Ste 205, Burlington, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (888) 858-1723.

Jordan Pangallo-koprowski 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-koprowski, LPCC, LICDC, LPC
	111 S Bedford St Ste 205, Burlington, MA 01803-5145
	(888) 858-1723
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Pangallo-koprowski
Gender	Female
Speciality	Counselor - Professional
Location	111 S Bedford St Ste 205, Burlington, Massachusetts
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: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 8527410927
Enrollment ID: I20240122003353

Medical Identifiers

Medical identifiers for Jordan Pangallo-koprowski 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
101YA0400X	Counselor - Addiction (substance Use Disorder)	LICDC.161566 (Ohio)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	E.1700245 (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. Jordan Pangallo-koprowski 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-koprowski 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-koprowski, LPCC, LICDC, LPC 446 Morgan St, Cincinnati, OH 45206-2348 Ph: (513) 834-0763	Jordan Pangallo-koprowski, LPCC, LICDC, LPC 111 S Bedford St Ste 205, Burlington, MA 01803-5145 Ph: (888) 858-1723

Reviews and Comments

Counselor in Burlington, MA

Joshua Tracy, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 County Rd, Burlington, MA 01803 Phone: 781-825-7505
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Victoria Vozzella, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Ganley Dr, Burlington, MA 01803 Phone: 781-974-6632
Elizabeth Aldeane Barnes, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Cambridge St Ste 230, Burlington, MA 01803 Phone: 518-227-6042
Susan Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 Farms Dr, Burlington, MA 01803 Phone: 857-701-7211

Jordan Pangallo-koprowski, LPCC, LICDC, LPC - Medicare Counselor in Burlington, MA