Mr Jalen Kainick Bogan, MA, LPC in Jackson, MI

Mr Jalen Kainick Bogan, MA, LPC is a medicare enrolled "Counselor" provider in Jackson, Michigan. His current practice location is 1200 N West Ave, Jackson, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 789-1209.

Mr Jalen Kainick Bogan is licensed to practice in Michigan (license number 6401223573) 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 1043800956.

Contact Information

	Mr Jalen Kainick Bogan, MA, LPC
	1200 N West Ave, Jackson, MI 49202-2179
	(517) 789-1209
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jalen Kainick Bogan
Gender	Male
Speciality	Counselor
Location	1200 N West Ave, Jackson, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043800956
Provider Enumeration Date: 01/25/2021
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 9537508353
Enrollment ID: I20240412002401

Medical Identifiers

Medical identifiers for Mr Jalen Kainick Bogan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043800956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101Y00000X	Counselor	6401223573 (Michigan)	Primary
101Y00000X	Counselor	6401019007 (Michigan)	Secondary

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 Jalen Kainick Bogan allows following entities to bill medicare on his behalf.

Entity Name	Jackson-hillsdale Community Mental Health Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063466274 PECOS PAC ID: 6406808062 Enrollment ID: O20050211000601

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 Jalen Kainick Bogan 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 Jalen Kainick Bogan, MA, LPC 2755 Granada Dr Apt 1c, Jackson, MI 49202-5257 Ph: (269) 578-6389	Mr Jalen Kainick Bogan, MA, LPC 1200 N West Ave, Jackson, MI 49202-2179 Ph: (517) 789-1209

Reviews and Comments

Counselor in Jackson, MI

Mrs. Juliana Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 437 Fern Ave, Jackson, MI 49202 Phone: 517-247-2033
Ms. Deborah Ann Mcdonald, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Michigan Ave, Jackson, MI 49201 Phone: 517-783-2732
Mrs. Rosemary Jordon Beals, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N West Ave, Jackson, MI 49202 Phone: 517-783-5334 Fax: 517-783-6064
Eric G Kelly, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6692 Spring Arbor Rd, Jackson, MI 49201 Phone: 517-750-3869
Mr. Michael Lee Freytag, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N West Ave, Suite 400, Jackson, MI 49202 Phone: 517-474-3793 Fax: 517-796-4561
Christian L Mccaslin, LPC, MA Counselor Medicare: Medicare Enrolled Practice Location: 1200 N West Ave, Suite 400, Jackson, MI 49202 Phone: 517-780-3336 Fax: 517-796-4561
Carlos Alfredo Larios, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 1st St, Jackson, MI 49201 Phone: 517-998-4673 Fax: 517-998-0005

Mr Jalen Kainick Bogan, MA, LPC - Medicare Counselor in Jackson, MI