Jaimie Callison, is a medicare enrolled "Marriage & Family Therapist" provider in Sierra Vista, Arizona. Her current practice location is
155 Calle Portal Ste 300, Sierra Vista, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 459-3011.
Jaimie Callison is licensed to practice in Arizona (license number LMFT-15884) 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 1164129466.
Healthcare Provider's Profile
Full Name | Jaimie Callison |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 155 Calle Portal Ste 300, Sierra Vista, Arizona |
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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: 1164129466
- Provider Enumeration Date: 02/08/2023
- Last Update Date: 02/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163873985
- Enrollment ID: I20240105002458
Medical Identifiers
Medical identifiers for Jaimie Callison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164129466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LMFT-15884 (Arizona) | 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. Jaimie Callison allows following entities to bill medicare on her behalf.
Entity Name | Chiricahua Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942241443 PECOS PAC ID: 5395638878 Enrollment ID: O20040206000860 |
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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. Jaimie Callison 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 |
Jaimie Callison, 1100 N F Ave, Douglas, AZ 85607-1919 Ph: () - | Jaimie Callison, 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 Ph: (520) 459-3011 |
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