Jacob Eli Butler, LPC is a medicare enrolled "Counselor - Professional" provider in Canadian, Oklahoma. His current practice location is
100 Division St, Canadian, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 430-3030.
Jacob Eli Butler is licensed to practice in Oklahoma (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184176091.
Healthcare Provider's Profile
| Full Name | Jacob Eli Butler |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 100 Division St, Canadian, Oklahoma |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1184176091
- Provider Enumeration Date: 10/26/2016
- Last Update Date: 08/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 9133565427
- Enrollment ID: I20240308001988
Medical Identifiers
Medical identifiers for Jacob Eli Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184176091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | BACU03012013-1 (Oklahoma) | Secondary |
| 101YP2500X | Counselor - Professional | (Oklahoma) | 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. Jacob Eli Butler allows following entities to bill medicare on his behalf.
| Provider Name | Choctaw Nation Of Oklahoma |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1659347623
PECOS PAC ID: 1759294838
Enrollment ID: O20031106000326 |
|---|
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. Jacob Eli Butler 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 |
|---|
Jacob Eli Butler, LPC
100 Division St,
Canadian, OK 74425-9750
Ph: (405) 430-3030 | Jacob Eli Butler, LPC
100 Division St,
Canadian, OK 74425-9750
Ph: (405) 430-3030 |
Reviews and Comments