Stefan Selochan, LMHC in Jacksonville, FL - Medicare Counselor Provider

Stefan Selochan, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Jacksonville, Florida. His current practice location is 1301 Riverplace Blvd Ste 800, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (833) 351-8255.

Stefan Selochan is licensed to practice in Florida (license number MH18908) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245728286.

Contact Information

	Stefan Selochan, LMHC
	1301 Riverplace Blvd Ste 800, Jacksonville, FL 32207-9032
	(833) 351-8255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stefan Selochan
Gender	Male
Speciality	Counselor - Mental Health
Location	1301 Riverplace Blvd Ste 800, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245728286
Provider Enumeration Date: 04/25/2018
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2860843885
Enrollment ID: I20240103004574

Medical Identifiers

Medical identifiers for Stefan Selochan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245728286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(Florida)	Secondary
101YM0800X	Counselor - Mental Health	MH18908 (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. Stefan Selochan allows following entities to bill medicare on his behalf.

Entity Name	Mccd Fl Psychiatry Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230104002248

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. Stefan Selochan 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
Stefan Selochan, LMHC 109 W 27th St Ste 5s, New York, NY 10001-6208 Ph: (833) 351-8255	Stefan Selochan, LMHC 1301 Riverplace Blvd Ste 800, Jacksonville, FL 32207-9032 Ph: (833) 351-8255

Reviews and Comments

Counselor in Jacksonville, FL

Mrs. Gloria Hanania, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 Park St, Jacksonville, FL 32204 Phone: 904-899-6300
Ms. Clare Denise Benjamin, ARNP Counselor Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060
Yvette Culver-owens, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6817 Southpoint Pkwy, Suite 1304, Jacksonville, FL 32216 Phone: 904-505-3983 Fax: 904-725-9833
Dawn S. Liphart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11265 Alumni Way, Jacksonville, FL 32246 Phone: 904-398-2020 Fax: 904-724-2172
Stanvonna Shootes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664
Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594
Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017

Stefan Selochan, LMHC - Medicare Counselor in Jacksonville, FL