Katie Lynne Jacoby, LPC in Alliance, OH - Medicare Counselor Provider

Katie Lynne Jacoby, LPC is a medicare enrolled "Counselor - Mental Health" provider in Alliance, Ohio. Her current practice location is 960 W State St, Alliance, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 771-9999.

Katie Lynne Jacoby is licensed to practice in Ohio (license number C2103116) 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 1568985505.

Contact Information

	Katie Lynne Jacoby, LPC
	960 W State St, Alliance, OH 44601-4685
	(330) 771-9999
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katie Lynne Jacoby
Gender	Female
Speciality	Counselor - Mental Health
Location	960 W State St, Alliance, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568985505
Provider Enumeration Date: 07/21/2017
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 3072965995
Enrollment ID: I20240116004560

Medical Identifiers

Medical identifiers for Katie Lynne Jacoby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568985505	NPI	-	NPPES
414018	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LCDCIII.161912 (Ohio)	Secondary
101YM0800X	Counselor - Mental Health	C2103116 (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. Katie Lynne Jacoby allows following entities to bill medicare on her behalf.

Entity Name	Natura Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699450635 PECOS PAC ID: 7810350105 Enrollment ID: O20230905001766

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. Katie Lynne Jacoby 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
Katie Lynne Jacoby, LPC 728 Mcdaniel Ave, Minerva, OH 44657-1238 Ph: (330) 771-7034	Katie Lynne Jacoby, LPC 960 W State St, Alliance, OH 44601-4685 Ph: (330) 771-9999

Reviews and Comments

Counselor in Alliance, OH

Bryan Jeffrey Eshelman, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088
Peter Joseph Botti, LISW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1207 W State St Ste M, Alliance, OH 44601 Phone: 330-821-8407 Fax: 330-821-8506
Jeffery J Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088
Patricia L Mangus, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 12402 Cartway St Ne, Alliance, OH 44601 Phone: 330-614-8706
Stephanie L Henschen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 S Arch Ave, Alliance, OH 44601 Phone: 330-821-3961 Fax: 330-884-6120
Jennifer N Berlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1207 W State St Ste M, Alliance, OH 44601 Phone: 330-821-8407 Fax: 330-821-8506
Arnold Montgomery, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088

Katie Lynne Jacoby, LPC - Medicare Counselor in Alliance, OH