Mrs Jacqueline Ejim, LCPC in Nottingham, MD - Medicare Counselor Provider

Mrs Jacqueline Ejim, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Nottingham, Maryland. Her current practice location is 7902 Belair Rd, Nottingham, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 731-2349.

Mrs Jacqueline Ejim is licensed to practice in Maryland (license number LC7848) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861920282.

Contact Information

	Mrs Jacqueline Ejim, LCPC
	7902 Belair Rd, Nottingham, MD 21236-3707
	(443) 731-2349
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jacqueline Ejim
Gender	Female
Speciality	Counselor - Mental Health
Location	7902 Belair Rd, Nottingham, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861920282
Provider Enumeration Date: 05/30/2017
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 0941628077
Enrollment ID: I20240916003942

Medical Identifiers

Medical identifiers for Mrs Jacqueline Ejim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861920282	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LC7848 (Maryland)	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. Mrs Jacqueline Ejim allows following entities to bill medicare on her behalf.

Entity Name	Attt Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164905188 PECOS PAC ID: 5799226874 Enrollment ID: O20240916003922

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. Mrs Jacqueline Ejim 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
Mrs Jacqueline Ejim, LCPC 6918 Ridge Rd, Rosedale, MD 21237-3854 Ph: (443) 731-2349	Mrs Jacqueline Ejim, LCPC 7902 Belair Rd, Nottingham, MD 21236-3707 Ph: (443) 731-2349

Reviews and Comments

Counselor in Nottingham, MD

Cynthia M Holden, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Arlen Rd Apt I, Nottingham, MD 21236 Phone: 301-531-5066
Trac Nguyen, Counselor Medicare: Medicare Enrolled Practice Location: 5026 Campbell Blvd Ste H, Nottingham, MD 21236 Phone: 410-780-2692
Christopher Faria, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9649 Belair Rd Ste 104, Nottingham, MD 21236 Phone: 410-529-1309
Jennifer Mallery Marski, Counselor Medicare: Medicare Enrolled Practice Location: 7939 Honeygo Blvd Ste 224, Nottingham, MD 21236 Phone: 410-933-3700 Fax: 410-933-9200
Carrie Williams, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4425 Fitch Ave Ste 118, Nottingham, MD 21236 Phone: 410-870-2125
Miss Ryann Nicole Siegel, PSYCHOLOGY ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 9649 Belair Rd Ste 104, Nottingham, MD 21236 Phone: 410-529-1309
Mrs. Melanie Shirley, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5024 Campbell Blvd Ste A, Nottingham, MD 21236 Phone: 410-686-3629

Mrs Jacqueline Ejim, LCPC - Medicare Counselor in Nottingham, MD