Dr Jessica Pena, PHD MS MED LPCA is a medicare enrolled "Counselor - Professional" provider in Columbia, South Carolina. Her current practice location is
2805 Millwood Ave, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 406-5442.
Dr Jessica Pena is licensed to practice in South Carolina (license number 5726) 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 1578807749.
Healthcare Provider's Profile
Full Name | Dr Jessica Pena |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 2805 Millwood Ave, Columbia, South Carolina |
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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: 1578807749
- Provider Enumeration Date: 11/12/2012
- Last Update Date: 04/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 9739406885
- Enrollment ID: I20240223001088
Medical Identifiers
Medical identifiers for Dr Jessica Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578807749 | NPI | - | NPPES |
PS1420 | Medicaid | SC | |
5723 | Other | SC | LP |
5726 | Other | SC | SC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 5726 (South Carolina) | Secondary |
101YP2500X | Counselor - Professional | 5726 (South Carolina) | 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. Dr Jessica Pena allows following entities to bill medicare on her behalf.
Entity Name | Hillcrest Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689067886 PECOS PAC ID: 2567812662 Enrollment ID: O20240102003641 |
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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. Dr Jessica Pena 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 |
Dr Jessica Pena, PHD MS MED LPCA 2805 Millwood Ave, Columbia, SC 29205-1298 Ph: (803) 406-5442 | Dr Jessica Pena, PHD MS MED LPCA 2805 Millwood Ave, Columbia, SC 29205-1298 Ph: (803) 406-5442 |
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