Donna Jorgensen, LPC, CSAC in Kenosha, WI - Medicare Counselor Provider

Donna Jorgensen, LPC, CSAC is a medicare enrolled "Counselor - Professional" provider in Kenosha, Wisconsin. Her current practice location is 815 57th St Unit I, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 354-7159.

Donna Jorgensen is licensed to practice in Wisconsin (license number 705-125) 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 1326416355.

Contact Information

	Donna Jorgensen, LPC, CSAC
	815 57th St Unit I, Kenosha, WI 53140-4062
	(262) 354-7159
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Donna Jorgensen
Gender	Female
Speciality	Counselor - Professional
Location	815 57th St Unit I, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326416355
Provider Enumeration Date: 09/08/2015
Last Update Date: 01/14/2020

Medicare PECOS Information:

PECOS PAC ID: 7719400944
Enrollment ID: I20250328001818

Medical Identifiers

Medical identifiers for Donna Jorgensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326416355	NPI	-	NPPES
1326416355	Medicaid	WI
1326416355	Other	WI	CCHP. BCBS, UNITED HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	16217-132 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	705-125 (Wisconsin)	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. Donna Jorgensen allows following entities to bill medicare on her behalf.

Entity Name	Vitae Health Medical Wisconsin Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508483140 PECOS PAC ID: 6901224773 Enrollment ID: O20200910000995

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. Donna Jorgensen 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
Donna Jorgensen, LPC, CSAC 5015 31st St, Kenosha, WI 53144-7320 Ph: () -	Donna Jorgensen, LPC, CSAC 815 57th St Unit I, Kenosha, WI 53140-4062 Ph: (262) 354-7159

Reviews and Comments

Counselor in Kenosha, WI

La Shanda Tolefree, BA, MS Counselor Medicare: May Accept Medicare Assignments Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539
Laura Williams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538
Jami Lynn Pomeroy, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008
Madeline Marie Beth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 Green Bay Rd, Kenosha, WI 53144 Phone: 708-738-6077
Aislynn Gavin, Counselor Medicare: May Accept Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-864-1141 Fax: 262-351-0132
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4103 60th St, Kenosha, WI 53144 Phone: 262-452-3684 Fax: 262-330-1475
Jessica Martzahl, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

Donna Jorgensen, LPC, CSAC - Medicare Counselor in Kenosha, WI