Jennifer Catherine Kubalak, in Boulder, CO - Medicare Counselor Provider

Jennifer Catherine Kubalak, is a medicare enrolled "Counselor - Professional" provider in Boulder, Colorado. Her current practice location is 4155 Darley Ave Ste F1, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (855) 284-7483.

Jennifer Catherine Kubalak is licensed to practice in Colorado (license number LPC.0018370) 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 1740987973.

Contact Information

	Jennifer Catherine Kubalak,
	4155 Darley Ave Ste F1, Boulder, CO 80305-6536
	(855) 284-7483
	(617) 807-0958

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Catherine Kubalak
Gender	Female
Speciality	Counselor - Professional
Location	4155 Darley Ave Ste F1, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740987973
Provider Enumeration Date: 02/08/2023
Last Update Date: 02/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3779025465
Enrollment ID: I20240610002099

Medical Identifiers

Medical identifiers for Jennifer Catherine Kubalak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740987973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC.0018370 (Colorado)	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. Jennifer Catherine Kubalak allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210527001823

Entity Name	Thornwoodwellnessllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467153809 PECOS PAC ID: 4284094137 Enrollment ID: O20230724002901

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. Jennifer Catherine Kubalak 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
Jennifer Catherine Kubalak, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483	Jennifer Catherine Kubalak, 4155 Darley Ave Ste F1, Boulder, CO 80305-6536 Ph: (855) 284-7483

Reviews and Comments

Counselor in Boulder, CO

Ms. Glenda Russell O'rourke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4716 Ashfield Ct, Boulder, CO 80301 Phone: 303-443-9446 Fax: 303-447-2173
Veronique P Mead, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4439 Driftwood Pl, Boulder, CO 80301 Phone: 303-581-0411
Carlos Trujillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-413-6212
Guilherme Zavaschi, Counselor Medicare: Medicare Enrolled Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500
Ms. Regina Cannon, REGISTERED PSYCHOTHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500
Amanda Fielder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 Fax: 303-449-6029
Lynne Marie Andrade, MA, LPCC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3360 Everett Dr, Boulder, CO 80305 Phone: 970-532-9999

Jennifer Catherine Kubalak, - Medicare Counselor in Boulder, CO