Jared Sparks, in Canton, OH - Medicare Counselor Provider

Jared Sparks, is a medicare enrolled "Counselor" provider in Canton, Ohio. His current practice location is 624 Market Ave N, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 493-4553.

Jared Sparks is licensed to practice in * (Not Available) (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 1053974923.

Contact Information

	Jared Sparks,
	624 Market Ave N, Canton, OH 44702-1017
	(330) 493-4553
	(330) 493-3761

Map and Direction

Healthcare Provider's Profile

Full Name	Jared Sparks
Gender	Male
Speciality	Counselor
Location	624 Market Ave N, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053974923
Provider Enumeration Date: 04/17/2019
Last Update Date: 08/10/2021

Medicare PECOS Information:

PECOS PAC ID: 0042735888
Enrollment ID: I20250415001236

Medical Identifiers

Medical identifiers for Jared Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053974923	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Jared Sparks allows following entities to bill medicare on his behalf.

Entity Name	Cleveland Sex & Intimacy Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982203246 PECOS PAC ID: 5890196968 Enrollment ID: O20210625002716

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. Jared Sparks 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
Jared Sparks, 624 Market Ave N, Canton, OH 44702-1017 Ph: (330) 493-4553	Jared Sparks, 624 Market Ave N, Canton, OH 44702-1017 Ph: (330) 493-4553

Reviews and Comments

Counselor in Canton, OH

Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 Market Ave N, Canton, OH 44702 Phone: 330-493-4553 Fax: 330-493-3761
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655
Alexis Mutersbaugh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907 Fax: 330-915-2958
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506

Jared Sparks, - Medicare Counselor in Canton, OH