Peggy Ann Jelks, is a medicare enrolled "Counselor - Professional" provider in Brownsville, Tennessee. Her current practice location is
1228 Hess St, Brownsville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 780-5411.
Peggy Ann Jelks is licensed to practice in Tennessee (license number LPC1465) 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 1700457140.
Healthcare Provider's Profile
Full Name | Peggy Ann Jelks |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1228 Hess St, Brownsville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700457140
- Provider Enumeration Date: 07/07/2021
- Last Update Date: 07/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779021688
- Enrollment ID: I20240809002318
Medical Identifiers
Medical identifiers for Peggy Ann Jelks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700457140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC1465 (Tennessee) | 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. Peggy Ann Jelks allows following entities to bill medicare on her behalf.
Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
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Entity Name | Nv Pacs 2 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
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Entity Name | Cs Pacs 3 Southeast Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761 |
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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. Peggy Ann Jelks 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 |
Peggy Ann Jelks, 1228 Hess St, Brownsville, TN 38012-1577 Ph: (731) 780-5411 | Peggy Ann Jelks, 1228 Hess St, Brownsville, TN 38012-1577 Ph: (731) 780-5411 |
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