Mrs Jessica Marie Cloutier, MA, LPC in Grand Rapids, MI

Mrs Jessica Marie Cloutier, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. Her current practice location is 640 3 Mile Rd Nw, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 785-8900.

Mrs Jessica Marie Cloutier is licensed to practice in Michigan (license number 6401011184) 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 1588994701.

Contact Information

	Mrs Jessica Marie Cloutier, MA, LPC
	640 3 Mile Rd Nw, Grand Rapids, MI 49544-8209
	(616) 785-8900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jessica Marie Cloutier
Gender	Female
Speciality	Counselor - Professional
Location	640 3 Mile Rd Nw, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588994701
Provider Enumeration Date: 01/11/2010
Last Update Date: 11/08/2018

Medicare PECOS Information:

PECOS PAC ID: 8820433048
Enrollment ID: I20240228000234

Medical Identifiers

Medical identifiers for Mrs Jessica Marie Cloutier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588994701	NPI	-	NPPES
4483587	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401011184 (Michigan)	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 Marie Cloutier allows following entities to bill medicare on her behalf.

Entity Name	Burke Group Counseling & Consulting Professionals Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639593627 PECOS PAC ID: 6103190335 Enrollment ID: O20170926003925

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 Marie Cloutier 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 Marie Cloutier, MA, LPC 1939 Division Ave S, Grand Rapids, MI 49507-2459 Ph: (616) 247-3815	Mrs Jessica Marie Cloutier, MA, LPC 640 3 Mile Rd Nw, Grand Rapids, MI 49544-8209 Ph: (616) 785-8900

Reviews and Comments

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Mrs Jessica Marie Cloutier, MA, LPC - Medicare Counselor in Grand Rapids, MI