Mr Jacob M Mecca-guillien, SAC-IT, LPC in Mukwonago, WI

Mr Jacob M Mecca-guillien, SAC-IT, LPC is a medicare enrolled "Counselor - Professional" provider in Mukwonago, Wisconsin. His current practice location is 400 Bay View Rd Ste C, Mukwonago, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (622) 789-1191.

Mr Jacob M Mecca-guillien is licensed to practice in Wisconsin (license number 8241-125) 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 1033687090.

Contact Information

	Mr Jacob M Mecca-guillien, SAC-IT, LPC
	400 Bay View Rd Ste C, Mukwonago, WI 53149-1770
	(622) 789-1191
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jacob M Mecca-guillien
Gender	Male
Speciality	Counselor - Professional
Location	400 Bay View Rd Ste C, Mukwonago, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033687090
Provider Enumeration Date: 11/08/2018
Last Update Date: 04/19/2022

Medicare PECOS Information:

PECOS PAC ID: 7214374503
Enrollment ID: I20240321004173

Medical Identifiers

Medical identifiers for Mr Jacob M Mecca-guillien such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033687090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	4208-226 (Wisconsin)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	18715-130 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	8241-125 (Wisconsin)	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 Jacob M Mecca-guillien allows following entities to bill medicare on his behalf.

Entity Name	Cornerstone Counseling Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446

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 Jacob M Mecca-guillien 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 Jacob M Mecca-guillien, SAC-IT, LPC 400 Bay View Rd Ste C, Mukwonago, WI 53149-1770 Ph: (622) 789-1191	Mr Jacob M Mecca-guillien, SAC-IT, LPC 400 Bay View Rd Ste C, Mukwonago, WI 53149-1770 Ph: (622) 789-1191

Reviews and Comments

Counselor in Mukwonago, WI

Katherine Diane Collins, LCSW 06/13-18 Counselor Medicare: Medicare Enrolled Practice Location: 400 Bay View Rd Ste C, Mukwonago, WI 53149 Phone: 262-789-1191 Fax: 262-363-7289
Melanie Anne Morgan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Bay View Rd Ste 4, Mukwonago, WI 53149 Phone: 262-542-3255
Katrina M Tarke-karge, BA, MA Counselor Medicare: Medicare Enrolled Practice Location: 400 Bay View Rd Ste C, Mukwonago, WI 53149 Phone: 262-789-1191
Mr. Charles Peter Koenings, LCSW, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: W247s10395 Center Dr, Mukwonago, WI 53149 Phone: 262-662-5900 Fax: 262-662-5688
Mrs. Megan M. Lamster, M.A., L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: W247s10395 Center Dr, Mukwonago, WI 53149 Phone: 262-662-5900
Ms. Stephanie L Coates-mcfeeley, M.S., LPC, SAC Counselor Medicare: Medicare Enrolled Practice Location: 400 Bay View Rd Ste C, Mukwonago, WI 53149 Phone: 262-789-1191

Mr Jacob M Mecca-guillien, SAC-IT, LPC - Medicare Counselor in Mukwonago, WI