Mrs Jessica Elizabeth Roman, LPC in Pawleys Island, SC

Mrs Jessica Elizabeth Roman, LPC is a medicare enrolled "Counselor - Professional" provider in Pawleys Island, South Carolina. Her current practice location is 14323 Ocean Hwy Unit 4103, Pawleys Island, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 779-2264.

Mrs Jessica Elizabeth Roman is licensed to practice in South Carolina (license number 6893) 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 1164963054.

Contact Information

	Mrs Jessica Elizabeth Roman, LPC
	14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817
	(843) 779-2264
	(866) 580-4842

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jessica Elizabeth Roman
Gender	Female
Speciality	Counselor - Professional
Location	14323 Ocean Hwy Unit 4103, Pawleys Island, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164963054
Provider Enumeration Date: 03/13/2017
Last Update Date: 08/16/2019

Medicare PECOS Information:

PECOS PAC ID: 9739524513
Enrollment ID: I20240303000057

Medical Identifiers

Medical identifiers for Mrs Jessica Elizabeth Roman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164963054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6893 (South Carolina)	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 Jessica Elizabeth Roman allows following entities to bill medicare on her behalf.

Entity Name	Willow Oak Counseling And Behavioral Services, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235614751 PECOS PAC ID: 8820433600 Enrollment ID: O20240303000044

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 Jessica Elizabeth Roman 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 Jessica Elizabeth Roman, LPC 235 Linden Cir, Pawleys Island, SC 29585-8046 Ph: (843) 779-2264	Mrs Jessica Elizabeth Roman, LPC 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817 Ph: (843) 779-2264

Reviews and Comments

Counselor in Pawleys Island, SC

Dioselina Ruiz Godbold, MA, LPCI, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 12117 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-237-8231
Mr. Jason Franklin Clemons, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12117 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-545-1271 Fax: 843-237-8551
Ms. Karen Lee Porterfield, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 Calvert Ct, Pawleys Island, SC 29585 Phone: 949-295-9301
Candace B Foster, M.ED;ED.S;LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 168 Channel Bluff Ave, Pawleys Island, SC 29585 Phone: 843-237-8688
Kristie Fay Heineman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Harvest Ct, Pawleys Island, SC 29585 Phone: 949-282-7634 Fax: 843-589-1395
Mrs. Teressa Thompson Harrington, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12117 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-545-1271 Fax: 843-237-8551

Mrs Jessica Elizabeth Roman, LPC - Medicare Counselor in Pawleys Island, SC