Mr Jesse Clark Griffin Iii, MS, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in Lorena, Texas. His current practice location is
653 E. Rocket Road, Lorena, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 265-4677.
Mr Jesse Clark Griffin Iii is licensed to practice in Texas (license number 67939) 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 1720376809.
Healthcare Provider's Profile
Full Name | Mr Jesse Clark Griffin Iii |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 653 E. Rocket Road, Lorena, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720376809
- Provider Enumeration Date: 07/11/2011
- Last Update Date: 07/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 5698125102
- Enrollment ID: I20231226001326
Medical Identifiers
Medical identifiers for Mr Jesse Clark Griffin Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720376809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 67939 (Texas) | 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 Jesse Clark Griffin Iii allows following entities to bill medicare on his behalf.
Entity Name | Heart Of Texas Region Mhmr Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639399132 PECOS PAC ID: 9830105105 Enrollment ID: O20060223000214 |
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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 Jesse Clark Griffin Iii 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 Jesse Clark Griffin Iii, MS, LPC, NCC 653 E. Rocket Road, Lorena, TX 76655 Ph: (254) 265-4677 | Mr Jesse Clark Griffin Iii, MS, LPC, NCC 653 E. Rocket Road, Lorena, TX 76655 Ph: (254) 265-4677 |
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