Jacob R Stotler, in Kearney, NE - Medicare Counselor Provider

Jacob R Stotler, is a medicare enrolled "Counselor - Mental Health" provider in Kearney, Nebraska. His current practice location is 2002 Central Ave, Kearney, Nebraska. You can reach out to his office (for appointments etc.) via phone at (307) 677-1618.

Jacob R Stotler is licensed to practice in Nebraska (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 1285252791.

Contact Information

	Jacob R Stotler,
	2002 Central Ave, Kearney, NE 68847-5302
	(307) 677-1618
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob R Stotler
Gender	Male
Speciality	Counselor - Mental Health
Location	2002 Central Ave, Kearney, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285252791
Provider Enumeration Date: 07/10/2020
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 5799225330
Enrollment ID: I20240910000718

Medical Identifiers

Medical identifiers for Jacob R Stotler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285252791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	193200000X (Wyoming)	Secondary
101YM0800X	Counselor - Mental Health	(Wyoming)	Secondary
171M00000X	Case Manager/care Coordinator	(Wyoming)	Secondary
101YM0800X	Counselor - Mental Health	(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. Jacob R Stotler allows following entities to bill medicare on his behalf.

Entity Name	Wyone Mental Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477326973 PECOS PAC ID: 4880134428 Enrollment ID: O20240910000629

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 R Stotler 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 R Stotler, 2002 Central Ave, Kearney, NE 68847-5302 Ph: (308) 627-6119	Jacob R Stotler, 2002 Central Ave, Kearney, NE 68847-5302 Ph: (307) 677-1618

Reviews and Comments

Counselor in Kearney, NE

Anteshia Zulkoski, LMHP, PLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3810 Central Ave, Kearney, NE 68847 Phone: 308-237-5951 Fax: 308-234-4018
Jason Andrew Lavene, M. ED., LIMHP, PLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2121 W 39th St Apt 2, Kearney, NE 68845 Phone: 308-991-5014
Bridget Danielle Mostek, LIMHP Counselor Medicare: Medicare Enrolled Practice Location: 1755 Prairie View Pl, Kearney, NE 68845 Phone: 308-865-2249 Fax: 308-865-2931
Karen L. Waller, MS LPC LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 5205 2nd Ave, Kearney, NE 68847 Phone: 308-237-5596
Maria Dischinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3800 Central Ave, Kearney, NE 68847 Phone: 308-237-5951
Marlene Knerl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 W 11th St, Kearney, NE 68845 Phone: 308-237-4086 Fax: 308-224-3864
Shanelle Lynn Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3423 2nd Ave Ste 3, Kearney, NE 68847 Phone: 308-300-1983

Jacob R Stotler, - Medicare Counselor in Kearney, NE