Ms Janis Marie Southworth, MA PC-TC in Medford, WI

Ms Janis Marie Southworth, MA PC-TC is a medicare enrolled "Counselor - Professional" provider in Medford, Wisconsin. Her current practice location is 136 W Broadway Ave, Medford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 748-4535.

Ms Janis Marie Southworth is licensed to practice in Wisconsin (license number 1773-226) 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 1235562737.

Contact Information

	Ms Janis Marie Southworth, MA PC-TC
	136 W Broadway Ave, Medford, WI 54451-1757
	(715) 748-4535
	(715) 748-0627

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Janis Marie Southworth
Gender	Female
Speciality	Counselor - Professional
Location	136 W Broadway Ave, Medford, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235562737
Provider Enumeration Date: 08/20/2013
Last Update Date: 10/22/2014

Medicare PECOS Information:

PECOS PAC ID: 9739524638
Enrollment ID: I20240301001642

Medical Identifiers

Medical identifiers for Ms Janis Marie Southworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235562737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1773-226 (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. Ms Janis Marie Southworth allows following entities to bill medicare on her behalf.

Entity Name	Human Services Board Serving North Central Health Care Facility
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205944543 PECOS PAC ID: 4385617786 Enrollment ID: O20040813001207

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 Janis Marie Southworth 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 Janis Marie Southworth, MA PC-TC 136 W Broadway Ave, P O Box 297, Medford, WI 54451-1757 Ph: (715) 748-4535	Ms Janis Marie Southworth, MA PC-TC 136 W Broadway Ave, Medford, WI 54451-1757 Ph: (715) 748-4535

Reviews and Comments

Counselor in Medford, WI

Mrs. Katie L Maske, CSAC, ICS-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332
Ms. Karen Sue Mundt, C-SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 W State St, Medford, WI 54451 Phone: 715-305-8112
Lacey Heinzelman, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: W10649 Perkinstown Ave, Medford, WI 54451 Phone: 855-689-8326
Courtney Henrichs, LPCIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 W State St, Medford, WI 54451 Phone: 715-748-4312 Fax: 715-748-4407
Laurie Hoffman, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342
Danielle E Peterson, CSAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 W Broadway Ave, Medford, WI 54451 Phone: 715-748-4312

Ms Janis Marie Southworth, MA PC-TC - Medicare Counselor in Medford, WI