Necha Devorah Jacob, LPC in Milwaukee, WI - Medicare Counselor Provider

Necha Devorah Jacob, LPC is a medicare enrolled "Counselor - Professional" provider in Milwaukee, Wisconsin. Her current practice location is 2524 E Webster Pl, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 388-5861.

Necha Devorah Jacob is licensed to practice in Wisconsin (license number 5079-226) 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 1235891581.

Contact Information

	Necha Devorah Jacob, LPC
	2524 E Webster Pl, Milwaukee, WI 53211-4256
	(414) 388-5861
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Necha Devorah Jacob
Gender	Female
Speciality	Counselor - Professional
Location	2524 E Webster Pl, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235891581
Provider Enumeration Date: 10/13/2021
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8426499047
Enrollment ID: I20240514003096

Medical Identifiers

Medical identifiers for Necha Devorah Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235891581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5079-226 (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. Necha Devorah Jacob allows following entities to bill medicare on her behalf.

Entity Name	Lighthouse Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912216219 PECOS PAC ID: 4385826502 Enrollment ID: O20110309000822

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. Necha Devorah Jacob 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
Necha Devorah Jacob, LPC 3453 N 54th St, Milwaukee, WI 53216-2801 Ph: (414) 388-5861	Necha Devorah Jacob, LPC 2524 E Webster Pl, Milwaukee, WI 53211-4256 Ph: (414) 388-5861

Reviews and Comments

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Necha Devorah Jacob, LPC - Medicare Counselor in Milwaukee, WI