Jacquelyn Buffo, in Memphis, MI - Medicare Counselor Provider

Jacquelyn Buffo, is a medicare enrolled "Counselor - Professional" provider in Memphis, Michigan. Her current practice location is 400 Stoddard, Memphis, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 464-7432.

Jacquelyn Buffo is licensed to practice in Michigan (license number 6401013525) 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 1104231729.

Contact Information

	Jacquelyn Buffo,
	400 Stoddard, Memphis, MI 48062
	(586) 464-7432
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Buffo
Gender	Female
Speciality	Counselor - Professional
Location	400 Stoddard, Memphis, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104231729
Provider Enumeration Date: 06/23/2014
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9638522832
Enrollment ID: I20240124001008

Medical Identifiers

Medical identifiers for Jacquelyn Buffo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104231729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	6401013525 (Michigan)	Secondary
101YP2500X	Counselor - Professional	6401013525 (Michigan)	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. Jacquelyn Buffo allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517

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. Jacquelyn Buffo 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
Jacquelyn Buffo, 21763 Cherry Blossom Ct., Macomb, MI 48044 Ph: () -	Jacquelyn Buffo, 400 Stoddard, Memphis, MI 48062 Ph: (586) 464-7432

Reviews and Comments

Counselor in Memphis, MI

Mrs. Karen S. Brooks, LLP, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Stoddard Rd., Memphis, MI 48041 Phone: 810-392-2167
Michael John Maniscalco, MA, LLPC, CACLL Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Stoddard Rd., Memphis, MI 48041 Phone: 810-392-2167
Rita Wichtner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Stoddard Rd., Memphis, MI 41038 Phone: 810-392-2167 Fax: 810-392-2057
Mrs. Nancy Carole Mills, M.A., CAC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Stoddard Rd., Memphis, MI 48041 Phone: 810-392-2167 Fax: 810-392-2057
Mr. Gerald Charles Zemens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Stoddard Road, Box 41038, Memphis, MI 48041 Phone: 810-392-2167 Fax: 810-392-3530
Ms. Frances Louise Deponio, LLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Stoddard Ave., Memphis, MI 48041 Phone: 810-392-2167 Fax: 810-392-2057

Jacquelyn Buffo, - Medicare Counselor in Memphis, MI