Tammy Demetrius Jacobs, LMHC, LPC, MA, in Wilmington, NC

Tammy Demetrius Jacobs, LMHC, LPC, MA, is a medicare enrolled "Counselor - Mental Health" provider in Wilmington, North Carolina. Her current practice location is 503 Covil Ave Ste 102, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 202-4270.

Tammy Demetrius Jacobs is licensed to practice in Oregon (license number C8286) 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 1114358660.

Contact Information

	Tammy Demetrius Jacobs, LMHC, LPC, MA,
	503 Covil Ave Ste 102, Wilmington, NC 28403-2683
	(910) 202-4270
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tammy Demetrius Jacobs
Gender	Female
Speciality	Counselor - Mental Health
Location	503 Covil Ave Ste 102, Wilmington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114358660
Provider Enumeration Date: 12/10/2013
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6507391992
Enrollment ID: I20241121003432

Medical Identifiers

Medical identifiers for Tammy Demetrius Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114358660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LGP11355 (Maryland)	Secondary
101YM0800X	Counselor - Mental Health	C8286 (Oregon)	Primary
101YM0800X	Counselor - Mental Health	LPC05181 (Alabama)	Secondary
101YM0800X	Counselor - Mental Health	14816 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	12852525-6009 (Utah)	Secondary

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. Tammy Demetrius Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230522002558

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. Tammy Demetrius Jacobs 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
Tammy Demetrius Jacobs, LMHC, LPC, MA, 4369 Milner Rd W, Birmingham, AL 35242-7355 Ph: (646) 655-0475	Tammy Demetrius Jacobs, LMHC, LPC, MA, 503 Covil Ave Ste 102, Wilmington, NC 28403-2683 Ph: (910) 202-4270

Reviews and Comments

Counselor in Wilmington, NC

Mrs. Makeba Sharice Shaw, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Elisha Dr, Wilmington, NC 28405 Phone: 910-233-0355 Fax: 910-799-6263
Mrs. Holly Cunningham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3963 Market St, Suite A, Wilmington, NC 28403 Phone: 910-362-9474 Fax: 910-362-9192
Kelly Nicole French, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Walnut St Ste 101, Wilmington, NC 28401 Phone: 828-214-7870
Erin Mace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S 17th St, Wilmington, NC 28401 Phone: 910-313-3232
Kristin Hoffman, MA, LCAS, LCMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Wooster St, Wilmington, NC 28401 Phone: 910-386-7378
Kelly Kristine Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1619 Grace St, Wilmington, NC 28401 Phone: 919-896-0214
Emily Kohls, LCMHC-A, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3133 Wrightsville Ave, Wilmington, NC 28403 Phone: 910-742-0489 Fax: 910-726-3979

Tammy Demetrius Jacobs, LMHC, LPC, MA, - Medicare Counselor in Wilmington, NC