Antonia J Genisio, LCPC in Jacksonville, IL - Medicare Counselor Provider

Antonia J Genisio, LCPC is a medicare enrolled "Counselor - Professional" provider in Jacksonville, Illinois. Her current practice location is 15 Founders Ln Ste 100, Jacksonville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 243-0300.

Antonia J Genisio is licensed to practice in Illinois (license number 180016629) 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 1245961606.

Contact Information

	Antonia J Genisio, LCPC
	15 Founders Ln Ste 100, Jacksonville, IL 62650-3924
	(217) 243-0300
	(217) 245-6775

Map and Direction

Healthcare Provider's Profile

Full Name	Antonia J Genisio
Gender	Female
Speciality	Counselor - Professional
Location	15 Founders Ln Ste 100, Jacksonville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245961606
Provider Enumeration Date: 06/17/2022
Last Update Date: 12/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7618404930
Enrollment ID: I20241227002384

Medical Identifiers

Medical identifiers for Antonia J Genisio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245961606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180016629 (Illinois)	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. Antonia J Genisio allows following entities to bill medicare on her behalf.

Entity Name	Memorial Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417922964 PECOS PAC ID: 9032005681 Enrollment ID: O20040223000454

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. Antonia J Genisio 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
Antonia J Genisio, LCPC 15 Founders Ln Ste 100, Jacksonville, IL 62650-3924 Ph: (217) 243-0300	Antonia J Genisio, LCPC 15 Founders Ln Ste 100, Jacksonville, IL 62650-3924 Ph: (217) 243-0300

Reviews and Comments

Counselor in Jacksonville, IL

Robert L. Heape, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W State St, Jacksonville, IL 62650 Phone: 217-245-6126 Fax: 217-245-4296
Megan Vant, MA, LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 E State St, Jacksonville, IL 62650 Phone: 217-408-1195 Fax: 217-408-1231
Nora A Bishop, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W State St, Jacksonville, IL 62650 Phone: 217-523-2217 Fax: 217-788-4147
Denise L Skinner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Lincoln Ave, Jacksonville, IL 62650 Phone: 877-381-6538 Fax: 217-245-7282
Ms. Yoli S Holmes, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W State St, Jacksonville, IL 62650 Phone: 217-245-6126 Fax: 217-245-4296
Shelley L Reither, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 557 N Westgate Ave, Jacksonville, IL 62650 Phone: 217-245-7275 Fax: 217-245-7427

Antonia J Genisio, LCPC - Medicare Counselor in Jacksonville, IL