Mr Elan Jeremy Santiago, in Jacksonville, FL - Medicare Counselor Provider

Mr Elan Jeremy Santiago, is a medicare enrolled "Counselor - Mental Health" provider in Jacksonville, Florida. His current practice location is 5776 Saint Augustine Rd, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 448-4700.

Mr Elan Jeremy Santiago is licensed to practice in Florida (license number MH14815) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407282411.

Contact Information

	Mr Elan Jeremy Santiago,
	5776 Saint Augustine Rd, Jacksonville, FL 32207-8030
	(904) 448-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Elan Jeremy Santiago
Gender	Male
Speciality	Counselor - Mental Health
Location	5776 Saint Augustine Rd, 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: 1407282411
Provider Enumeration Date: 09/23/2013
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 6800249988
Enrollment ID: I20240124004052

Medical Identifiers

Medical identifiers for Mr Elan Jeremy Santiago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407282411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH14815 (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. Mr Elan Jeremy Santiago allows following entities to bill medicare on his behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

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. Mr Elan Jeremy Santiago 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
Mr Elan Jeremy Santiago, 12317 Casheros Cove Dr S, Jacksonville, FL 32225-5121 Ph: (904) 469-4280	Mr Elan Jeremy Santiago, 5776 Saint Augustine Rd, Jacksonville, FL 32207-8030 Ph: (904) 448-4700

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

Mr Elan Jeremy Santiago, - Medicare Counselor in Jacksonville, FL