Jesseca Lee Holston, MA, LMFT in Virginia Beach, VA - Medicare Marriage & Family Therapist Provider

Jesseca Lee Holston, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Virginia Beach, Virginia. Her current practice location is 2501 Alleghany Loop, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at (858) 349-0873.

Jesseca Lee Holston is licensed to practice in California (license number 95098) 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 1104121342.

Contact Information

	Jesseca Lee Holston, MA, LMFT
	2501 Alleghany Loop, Virginia Beach, VA 23456-2442
	(858) 349-0873
	(858) 349-0873

Map and Direction

Healthcare Provider's Profile

Full Name	Jesseca Lee Holston
Gender	Female
Speciality	Marriage & Family Therapist
Location	2501 Alleghany Loop, Virginia Beach, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104121342
Provider Enumeration Date: 01/19/2011
Last Update Date: 03/01/2020

Medicare PECOS Information:

PECOS PAC ID: 0648705145
Enrollment ID: I20241120003410

Medical Identifiers

Medical identifiers for Jesseca Lee Holston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104121342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	0717001507 (Virginia)	Secondary
106H00000X	Marriage & Family Therapist	95098 (California)	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. Jesseca Lee Holston allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Jesseca Lee Holston 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
Jesseca Lee Holston, MA, LMFT 321 Cassidy St, Oceanside, CA 92054-5314 Ph: (760) 721-2171	Jesseca Lee Holston, MA, LMFT 2501 Alleghany Loop, Virginia Beach, VA 23456-2442 Ph: (858) 349-0873

Reviews and Comments

Marriage & Family Therapist in Virginia Beach, VA

Emily Jo Thomas, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3630 S Plaza Trl, Virginia Beach, VA 23452 Phone: 757-797-4086
Alisha Hires, RESIDENT IN MARRIAGE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1425 Cheval Cir, Virginia Beach, VA 23451 Phone: 757-239-4626
Mrs. Kate Welton Baez, RBT, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 708 S Rosemont Rd, Virginia Beach, VA 23452 Phone: 757-731-0105
Tracy Barbee, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4460 Corporation Ln, Virginia Beach, VA 23462 Phone: 757-335-6042
Dr. Donald R Kirtland, MA, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 648 Kings Grant Rd, Virginia Beach, VA 23452 Phone: 714-309-3033
Jodi Matos, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 281 Independence Blvd, Ste.321, Virginia Beach, VA 23462 Phone: 757-490-0377 Fax: 757-497-1327

Jesseca Lee Holston, MA, LMFT - Medicare Couples Therapy in Virginia Beach, VA