Whitney Nicole Jerkins, ALC is a medicare enrolled "Counselor - Mental Health" provider in East Brewton, Alabama. Her current practice location is
701 Forrest Ave, East Brewton, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 286-0707.
Whitney Nicole Jerkins is licensed to practice in Alabama (license number 4310) 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 1588203251.
Healthcare Provider's Profile
Full Name | Whitney Nicole Jerkins |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 701 Forrest Ave, East Brewton, Alabama |
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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: 1588203251
- Provider Enumeration Date: 12/30/2019
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264884808
- Enrollment ID: I20240118003311
Medical Identifiers
Medical identifiers for Whitney Nicole Jerkins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588203251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 4310 (Alabama) | 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. Whitney Nicole Jerkins allows following entities to bill medicare on her behalf.
Entity Name | Enliven Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013630284 PECOS PAC ID: 1951753698 Enrollment ID: O20240118002747 |
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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. Whitney Nicole Jerkins 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 |
Whitney Nicole Jerkins, ALC 701 Forrest Ave, East Brewton, AL 36426-2520 Ph: (251) 286-0707 | Whitney Nicole Jerkins, ALC 701 Forrest Ave, East Brewton, AL 36426-2520 Ph: (251) 286-0707 |
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