Mrs Jolivia Porter, MA in Longview, WA - Medicare Marriage & Family Therapist Provider

Mrs Jolivia Porter, MA is a medicare enrolled "Marriage & Family Therapist" provider in Longview, Washington. Her current practice location is 720 14th Avenue, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 423-0203.

Mrs Jolivia Porter is licensed to practice in Washington (license number 60313873) 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 1639315179.

Contact Information

	Mrs Jolivia Porter, MA
	720 14th Avenue, Longview, WA 98632
	(360) 423-0203
	(360) 423-5086

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jolivia Porter
Gender	Female
Speciality	Marriage & Family Therapist
Location	720 14th Avenue, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639315179
Provider Enumeration Date: 01/06/2009
Last Update Date: 02/04/2019

Medicare PECOS Information:

PECOS PAC ID: 4789036583
Enrollment ID: I20240117002759

Medical Identifiers

Medical identifiers for Mrs Jolivia Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639315179	NPI	-	NPPES
2091931	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	60313873 (Washington)	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. Mrs Jolivia Porter allows following entities to bill medicare on her behalf.

Entity Name	Columbia Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487659579 PECOS PAC ID: 2567358286 Enrollment ID: O20040227000406

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. Mrs Jolivia Porter 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
Mrs Jolivia Porter, MA 921 14th Avenue, Longview, WA 98632 Ph: (360) 423-0203	Mrs Jolivia Porter, MA 720 14th Avenue, Longview, WA 98632 Ph: (360) 423-0203

Reviews and Comments

Marriage & Family Therapist in Longview, WA

Paula Clark Warme, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1339 Commerce Ave, Suite 310 D, Longview, WA 98632 Phone: 360-423-3897
Lizett Maclaurin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203
Brittany Paige Pruitt, ME Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave Ste 100, Longview, WA 98632 Phone: 251-421-2247
Fay Slusher, Couples Therapy Medicare: Medicare Enrolled Practice Location: 600 Broadway Street, Peacehealth, Longview, WA 98632 Phone: 360-414-2236
Ms. Debra Perko Kornberg, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Korrie Kashuba, IMF Couples Therapy Medicare: Medicare Enrolled Practice Location: 922 Fir St, Longview, WA 98632 Phone: 360-353-9422 Fax: 360-353-9440

Mrs Jolivia Porter, MA - Medicare Couples Therapy in Longview, WA