Mrs Jessica Lee Carpenter, LIMHP, MSW is a medicare enrolled "Counselor - Mental Health" provider in Omaha, Nebraska. Her current practice location is
5321 S 138th St, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 895-4000.
Mrs Jessica Lee Carpenter is licensed to practice in Nebraska (license number 2516) 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 1972157048.
Healthcare Provider's Profile
| Full Name | Mrs Jessica Lee Carpenter |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 5321 S 138th St, Omaha, Nebraska |
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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: 1972157048
- Provider Enumeration Date: 07/27/2019
- Last Update Date: 01/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052726627
- Enrollment ID: I20210211001595
Medical Identifiers
Medical identifiers for Mrs Jessica Lee Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972157048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 1964 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2516 (Nebraska) | 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 Jessica Lee Carpenter allows following entities to bill medicare on her behalf.
| Entity Name | Fireside Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851766034 PECOS PAC ID: 9436571601 Enrollment ID: O20200616001495 |
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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. Mrs Jessica Lee Carpenter 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 Jessica Lee Carpenter, LIMHP, MSW 8217 Manderson Cir, Omaha, NE 68134-4268 Ph: (402) 578-9915 | Mrs Jessica Lee Carpenter, LIMHP, MSW 5321 S 138th St, Omaha, NE 68137-2913 Ph: (402) 895-4000 |
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