Mr Jeffrey Peter Wedge, LCMHC, MLADC in Derry, NH

Mr Jeffrey Peter Wedge, LCMHC, MLADC is a medicare enrolled "Counselor - Mental Health" provider in Derry, New Hampshire. His current practice location is 14a Tsienneto Rd, Derry, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 537-1300.

Mr Jeffrey Peter Wedge is licensed to practice in New Hampshire (license number 2295) 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 1770057291.

Contact Information

	Mr Jeffrey Peter Wedge, LCMHC, MLADC
	14a Tsienneto Rd, Derry, NH 03038-1505
	(603) 537-1300
	(603) 845-5135

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeffrey Peter Wedge
Gender	Male
Speciality	Counselor - Mental Health
Location	14a Tsienneto Rd, Derry, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770057291
Provider Enumeration Date: 01/17/2019
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 0345693701
Enrollment ID: I20240201001839

Medical Identifiers

Medical identifiers for Mr Jeffrey Peter Wedge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770057291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	0431 (New Hampshire)	Secondary
101YM0800X	Counselor - Mental Health	2295 (New Hampshire)	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 Jeffrey Peter Wedge allows following entities to bill medicare on his behalf.

Entity Name	Derry Medical Center, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922030493 PECOS PAC ID: 5294711768 Enrollment ID: O20040625000380

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 Jeffrey Peter Wedge 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 Jeffrey Peter Wedge, LCMHC, MLADC 14 Tsienneto Rd Bldg B, Derry, NH 03038-1647 Ph: (603) 537-1300	Mr Jeffrey Peter Wedge, LCMHC, MLADC 14a Tsienneto Rd, Derry, NH 03038-1505 Ph: (603) 537-1300

Reviews and Comments

Counselor in Derry, NH

Sarah Badami, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Tsienneto Rd, Derry, NH 03038 Phone: 603-434-1577 Fax: 603-434-3101
Valerie Piper, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 14a Tsienneto Rd, Derry, NH 03038 Phone: 603-537-1300 Fax: 603-845-5135
Valerie Vigue, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Tsienneto Rd, Derry, NH 03038 Phone: 603-434-1577 Fax: 603-434-3101
Stephanie Cuthbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Tsienneto Rd, Derry, NH 03038 Phone: 603-434-1577
Ryan Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Tsienneto Rd, Derry, NH 03038 Phone: 603-434-1577
Mrs. Lee Brooks Holder, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Grinnell Rd, Derry, NH 03038 Phone: 603-432-1238
Emily Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Tsienneto Rd, Derry, NH 03038 Phone: 603-965-0761

Mr Jeffrey Peter Wedge, LCMHC, MLADC - Medicare Counselor in Derry, NH