Amy Jean Daum, LPC is a medicare enrolled "Counselor - Mental Health" provider in North Freedom, Wisconsin. She graduated from healthcare school in 2014 and has 11 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Talkspace Provider Network Pa and her current practice location is
S6202 County Road Pf, North Freedom, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 291-4066.
Amy Jean Daum is licensed to practice in Wisconsin (license number 8720-125) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922720671.
Healthcare Provider's Profile
| Full Name | Amy Jean Daum |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 11 Years |
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| Location | S6202 County Road Pf, North Freedom, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy Jean Daum graduated from medical school in 2014
NPI Data:
- NPI Number: 1922720671
- Provider Enumeration Date: 09/19/2022
- Last Update Date: 02/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274978622
- Enrollment ID: I20240226002412
Medical Identifiers
Medical identifiers for Amy Jean Daum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922720671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 6401225026 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | 8720-125 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Talkspace Provider Network Pa | 5799136701 | 197 |
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. Amy Jean Daum allows following entities to bill medicare on her behalf.
| Entity Name | Talkspace Provider Network Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639814049
PECOS PAC ID: 5799136701
Enrollment ID: O20240415002987 |
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| Entity Name | Mental Health Specialty Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20240729000310 |
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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. Amy Jean Daum 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 |
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Amy Jean Daum, LPC
S6202 County Road Pf,
North Freedom, WI 53951-9643
Ph: (608) 291-4066 | Amy Jean Daum, LPC
S6202 County Road Pf,
North Freedom, WI 53951-9643
Ph: (608) 291-4066 |
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