Ms Jamie Renee Klemzak, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Gulfport, Florida. Her current practice location is
2309 49th St S, Gulfport, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 300-6790.
Ms Jamie Renee Klemzak is licensed to practice in Florida (license number MT2204) 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 1669688123.
Healthcare Provider's Profile
| Full Name | Ms Jamie Renee Klemzak |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 2309 49th St S, Gulfport, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669688123
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 05/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941742076
- Enrollment ID: I20240605000037
Medical Identifiers
Medical identifiers for Ms Jamie Renee Klemzak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669688123 | NPI | - | NPPES |
| MT2204 | Other | FL | MFT LICENSURE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MCAP0101021 (Florida) | Secondary |
| 106H00000X | Marriage & Family Therapist | MT2204 (Florida) | 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. Ms Jamie Renee Klemzak allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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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. Ms Jamie Renee Klemzak 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 |
|---|
Ms Jamie Renee Klemzak, LMFT
2309 49th Street South,
Gulfport, FL 33707
Ph: (727) 300-6790 | Ms Jamie Renee Klemzak, LMFT
2309 49th St S,
Gulfport, FL 33707-5139
Ph: (727) 300-6790 |
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