Jordan Wixom, LPC, NCC in Blackfoot, ID - Medicare Counselor Provider

Jordan Wixom, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in Blackfoot, Idaho. Her current practice location is 411 Rich Ln, Blackfoot, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 680-3322.

Jordan Wixom is licensed to practice in Idaho (license number LPC-6568) 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 1982129177.

Contact Information

	Jordan Wixom, LPC, NCC
	411 Rich Ln, Blackfoot, ID 83221-3950
	(208) 680-3322
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Wixom
Gender	Female
Speciality	Counselor - Professional
Location	411 Rich Ln, Blackfoot, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982129177
Provider Enumeration Date: 08/08/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5597117283
Enrollment ID: I20240318000525

Medical Identifiers

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

Identifier	Type	State	Issuer
1982129177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-6568 (Idaho)	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 Wixom allows following entities to bill medicare on her behalf.

Entity Name	Human Dynamics And Diagnostics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346368198 PECOS PAC ID: 1153644547 Enrollment ID: O20141215002111

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 Wixom 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 Wixom, LPC, NCC 411 Rich Ln, Blackfoot, ID 83221-3950 Ph: (208) 680-3322	Jordan Wixom, LPC, NCC 411 Rich Ln, Blackfoot, ID 83221-3950 Ph: (208) 680-3322

Reviews and Comments

Counselor in Blackfoot, ID

Shayna Kearn Norton, LMFT, CADC Counselor Medicare: Medicare Enrolled Practice Location: 288 N Shilling Ave, Blackfoot, ID 83221 Phone: 208-785-1047
Ms. Suzanne Godfrey, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Third Floor, Blackfoot, ID 83221 Phone: 208-785-3800 Fax: 208-785-3876
Kimberley Sweet, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 East Alice Street, Blackfoot, ID 83221 Phone: 208-785-5874
David Scott Hurst, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 Camas St, Blackfoot, ID 83221 Phone: 208-782-0678
Dallen Ray Bell, LMSW Counselor Medicare: Medicare Enrolled Practice Location: 1309 Camas St, Blackfoot, ID 83221 Phone: 208-782-0675 Fax: 208-782-0678
Mrs. Kathleen S Tomazin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 W Judicial St, Blackfoot, ID 83221 Phone: 208-782-2060 Fax: 208-782-0209
Ruby Lee Walker, LPCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600

Jordan Wixom, LPC, NCC - Medicare Counselor in Blackfoot, ID