Jeffrey S Jirak, LPC, LISAC in Glendale, AZ - Medicare Counselor Provider

Jeffrey S Jirak, LPC, LISAC is a medicare enrolled "Counselor - Mental Health" provider in Glendale, Arizona. His current practice location is 11851 N 51st Ave Ste B110, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 882-4545.

Jeffrey S Jirak is licensed to practice in Arizona (license number LPC-2320) 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 1063565455.

Contact Information

	Jeffrey S Jirak, LPC, LISAC
	11851 N 51st Ave Ste B110, Glendale, AZ 85304-2823
	(480) 882-4545
	(623) 773-2267

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey S Jirak
Gender	Male
Speciality	Counselor - Mental Health
Location	11851 N 51st Ave Ste B110, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063565455
Provider Enumeration Date: 01/19/2007
Last Update Date: 05/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6103278940
Enrollment ID: I20240117004055

Medical Identifiers

Medical identifiers for Jeffrey S Jirak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063565455	NPI	-	NPPES
646316	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LISAC-10590 (Arizona)	Secondary
101YM0800X	Counselor - Mental Health	LPC-2320 (Arizona)	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. Jeffrey S Jirak allows following entities to bill medicare on his behalf.

Entity Name	Neighborhood Outreach Access To Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942518550 PECOS PAC ID: 3577743764 Enrollment ID: O20110204000504

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. Jeffrey S Jirak 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
Jeffrey S Jirak, LPC, LISAC 7500 N Dreamy Draw Dr Ste 145, Phoenix, AZ 85020-4668 Ph: (480) 882-4545	Jeffrey S Jirak, LPC, LISAC 11851 N 51st Ave Ste B110, Glendale, AZ 85304-2823 Ph: (480) 882-4545

Reviews and Comments

Counselor in Glendale, AZ

Laura Elma Huber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17505 N 79th Ave, Ste. 311c, Glendale, AZ 85308 Phone: 623-692-4311
Katherine Marie Hanlon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17235 N 75th Ave Ste F100, Glendale, AZ 85308 Phone: 480-641-1165
Melissa Quarteroni, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3619 W Michigan Ave, Glendale, AZ 85308 Phone: 602-703-5266
Mr. Michael L Sweeney, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 18555 N 79th Ave Ste B103, Glendale, AZ 85308 Phone: 623-334-9700 Fax: 623-334-9800
Dr. Ruth E Reese, MS, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4801 W Avenida Del Rey, Glendale, AZ 85310 Phone: 623-486-0527
Josephine K Pierce, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4425 W Olive Ave, # 200 & 140, Glendale, AZ 85302 Phone: 602-685-6000 Fax: 602-930-0358
Parveen Bobby Shaik, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17235 N 75th Ave Ste F100, Glendale, AZ 85308 Phone: 480-641-1165

Jeffrey S Jirak, LPC, LISAC - Medicare Counselor in Glendale, AZ