Jason Lee Fairweather, LPC, SACIT, CSIT - Medicare Counselor in Berlin, WI

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Jason Lee Fairweather, LPC, SACIT, CSIT is a medicare enrolled "Counselor - Professional" provider in Berlin, Wisconsin. His current practice location is 553 Broadway, Berlin, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 204-6590.

Jason Lee Fairweather is licensed to practice in Wisconsin (license number 10532-125) 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 1689278590.

Contact Information

Jason Lee Fairweather, LPC, SACIT, CSIT
553 Broadway,
Berlin, WI 54923-1323
(920) 204-6590
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJason Lee Fairweather
GenderMale
SpecialityCounselor - Professional
Location553 Broadway, Berlin, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689278590
  • Provider Enumeration Date: 11/23/2020
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466804075
  • Enrollment ID: I20240119000724

Medical Identifiers

Medical identifiers for Jason Lee Fairweather such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689278590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 10532-125 (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. Jason Lee Fairweather allows following entities to bill medicare on his behalf.
Entity NameCounty Of Green Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780867408
PECOS PAC ID: 6507881265
Enrollment ID: O20051011001149

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. Jason Lee Fairweather 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 AddressPractice Location Address
Jason Lee Fairweather, LPC, SACIT, CSIT
553 Broadway,
Berlin, WI 54923-1323

Ph: (920) 204-6590		Jason Lee Fairweather, LPC, SACIT, CSIT
553 Broadway,
Berlin, WI 54923-1323

Ph: (920) 204-6590

Reviews and Comments


Counselor in Berlin, WI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.