Mr Jake Aaron Roberts, LPC in Ponca City, OK - Medicare Counselor Provider

Mr Jake Aaron Roberts, LPC is a medicare enrolled "Counselor - Professional" provider in Ponca City, Oklahoma. His current practice location is 200 White Eagle Dr, Ponca City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 765-2501.

Mr Jake Aaron Roberts is licensed to practice in Oklahoma (license number 5472) 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 1396082798.

Contact Information

	Mr Jake Aaron Roberts, LPC
	200 White Eagle Dr, Ponca City, OK 74601-8315
	(580) 765-2501
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jake Aaron Roberts
Gender	Male
Speciality	Counselor - Professional
Location	200 White Eagle Dr, Ponca City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396082798
Provider Enumeration Date: 01/07/2013
Last Update Date: 02/28/2024

Medicare PECOS Information:

PECOS PAC ID: 3870814593
Enrollment ID: I20240315001903

Medical Identifiers

Medical identifiers for Mr Jake Aaron Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396082798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5472 (Oklahoma)	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 Jake Aaron Roberts allows following entities to bill medicare on his behalf.

Entity Name	White Eagle Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699875724 PECOS PAC ID: 1456324193 Enrollment ID: O20040819000518

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 Jake Aaron Roberts 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 Jake Aaron Roberts, LPC 404 Redbird Dr, Ponca City, OK 74601-1408 Ph: (918) 884-9844	Mr Jake Aaron Roberts, LPC 200 White Eagle Dr, Ponca City, OK 74601-8315 Ph: (580) 765-2501

Reviews and Comments

Counselor in Ponca City, OK

Kirk Michael Hollis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 W Grand Ave, Ponca City, OK 74601 Phone: 580-767-8000
Laura Anne Peitz, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3415 Meadow Ln, Ponca City, OK 74604 Phone: 580-762-5948
Charles Nix, L.P.C. CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 N 5th St, Ponca City, OK 74601 Phone: 580-242-4673
Renia Lynn Batman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 N 6th St, Ponca City, OK 74601 Phone: 918-287-1175
Ms. Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Fairview Ave, Ponca City, OK 74601 Phone: 580-765-3900
Lauren Kirk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N 4th St, Ponca City, OK 74601 Phone: 580-749-5056
Ashley Merz, BS, MPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Grand Ave, Ponca City, OK 74601 Phone: 580-762-1462 Fax: 580-765-7299

Mr Jake Aaron Roberts, LPC - Medicare Counselor in Ponca City, OK