Lisa Jeanne Maddox, in Jacksonville, FL - Medicare Counselor Provider

Lisa Jeanne Maddox, is a medicare enrolled "Counselor - Professional" provider in Jacksonville, Florida. Her current practice location is 4243 Sunbeam Rd Ste 1, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (855) 284-7483.

Lisa Jeanne Maddox is licensed to practice in Florida (license number MH22914) 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 1013632116.

Contact Information

	Lisa Jeanne Maddox,
	4243 Sunbeam Rd Ste 1, Jacksonville, FL 32257-8975
	(855) 284-7483
	(617) 807-0958

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Jeanne Maddox
Gender	Female
Speciality	Counselor - Professional
Location	4243 Sunbeam Rd Ste 1, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013632116
Provider Enumeration Date: 10/11/2022
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8426408733
Enrollment ID: I20231228003751

Medical Identifiers

Medical identifiers for Lisa Jeanne Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013632116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(Florida)	Secondary
101YM0800X	Counselor - Mental Health	MH22914 (Florida)	Secondary
101YP2500X	Counselor - Professional	MH22914 (Florida)	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. Lisa Jeanne Maddox allows following entities to bill medicare on her behalf.

Entity Name	Thriveworks Clinical - Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675

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. Lisa Jeanne Maddox 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
Lisa Jeanne Maddox, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483	Lisa Jeanne Maddox, 4243 Sunbeam Rd Ste 1, Jacksonville, FL 32257-8975 Ph: (855) 284-7483

Reviews and Comments

Counselor in Jacksonville, FL

Mrs. Gloria Hanania, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 Park St, Jacksonville, FL 32204 Phone: 904-899-6300
Ms. Clare Denise Benjamin, ARNP Counselor Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060
Yvette Culver-owens, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy, Suite 1304, Jacksonville, FL 32216 Phone: 904-505-3983 Fax: 904-725-9833
Dawn S. Liphart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11265 Alumni Way, Jacksonville, FL 32246 Phone: 904-398-2020 Fax: 904-724-2172
Stanvonna Shootes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664
Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594
Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017

Lisa Jeanne Maddox, - Medicare Counselor in Jacksonville, FL