Mr John Barajas, LPC, SAC-IT in Appleton, WI - Medicare Counselor Provider

Mr John Barajas, LPC, SAC-IT is a medicare enrolled "Counselor - Professional" provider in Appleton, Wisconsin. His current practice location is 4650 W Spencer St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 903-1060.

Mr John Barajas is licensed to practice in Wisconsin (license number 10935-123) 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 1003484478.

Contact Information

	Mr John Barajas, LPC, SAC-IT
	4650 W Spencer St, Appleton, WI 54914-9106
	(920) 903-1060
	(920) 903-1060

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Barajas
Gender	Male
Speciality	Counselor - Professional
Location	4650 W Spencer St, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003484478
Provider Enumeration Date: 06/14/2021
Last Update Date: 02/03/2025

Medicare PECOS Information:

PECOS PAC ID: 6901245596
Enrollment ID: I20240416000672

Medical Identifiers

Medical identifiers for Mr John Barajas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003484478	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	19327-130 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	10935-123 (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 John Barajas allows following entities to bill medicare on his behalf.

Entity Name	Samaritan Counseling Center Of The Fox Valley, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538175195 PECOS PAC ID: 9234034349 Enrollment ID: O20031203000132

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 John Barajas 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 John Barajas, LPC, SAC-IT 4650 W Spencer St, Appleton, WI 54914-9106 Ph: (920) 903-1060	Mr John Barajas, LPC, SAC-IT 4650 W Spencer St, Appleton, WI 54914-9106 Ph: (920) 903-1060

Reviews and Comments

Counselor in Appleton, WI

Ms. Maria Gloria Vercimak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 N Westhill Blvd, Appleton, WI 54914 Phone: 920-750-7000 Fax: 920-364-2451
Pablo E Serna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Walnut St, Appleton, WI 54911 Phone: 920-832-4741 Fax: 920-832-2185
Kimberly Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 N Richmond St, Appleton, WI 54911 Phone: 920-730-1321 Fax: 920-734-2824
Teri G Metropulos, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 229 S. Morrison, Appleton, WI 54911 Phone: 920-832-2783 Fax: 920-832-2635
Nhia Moua, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 W Grande Market Dr Ste N, Appleton, WI 54913 Phone: 920-903-1060 Fax: 920-903-1164
Trevor Konetzke, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S Glenridge Ct, Appleton, WI 54914 Phone: 920-731-3981

Mr John Barajas, LPC, SAC-IT - Medicare Counselor in Appleton, WI