Jennifer Marie Dudek, LPCIT in Shiocton, WI - Medicare Counselor Provider

Jennifer Marie Dudek, LPCIT is a medicare enrolled "Counselor - Mental Health" provider in Shiocton, Wisconsin. Her current practice location is N5367 Mayflower Rd, Shiocton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 986-3003.

Jennifer Marie Dudek is licensed to practice in Wisconsin (license number 2882-226) 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 1013375419.

Contact Information

	Jennifer Marie Dudek, LPCIT
	N5367 Mayflower Rd, Shiocton, WI 54170-8934
	(920) 986-3003
	(920) 986-3004

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Marie Dudek
Gender	Female
Speciality	Counselor - Mental Health
Location	N5367 Mayflower Rd, Shiocton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013375419
Provider Enumeration Date: 02/01/2016
Last Update Date: 02/01/2016

Medicare PECOS Information:

PECOS PAC ID: 7214473024
Enrollment ID: I20240729000650

Medical Identifiers

Medical identifiers for Jennifer Marie Dudek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013375419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2882-226 (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. Jennifer Marie Dudek allows following entities to bill medicare on her behalf.

Entity Name	Mindful Therapy Group Of Colorado, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972389963 PECOS PAC ID: 3870036478 Enrollment ID: O20240624004790

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 Marie Dudek 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 Marie Dudek, LPCIT N5367 Mayflower Rd, Shiocton, WI 54170-8934 Ph: (920) 986-3003	Jennifer Marie Dudek, LPCIT N5367 Mayflower Rd, Shiocton, WI 54170-8934 Ph: (920) 986-3003

Reviews and Comments

Counselor in Shiocton, WI

Kristeen Schreiber, MAC,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: N5367 Mayflower Rd, Shiocton, WI 54170 Phone: 920-986-3003 Fax: 920-986-3004
Mrs. Michele Glime, LPCT Counselor Medicare: Not Enrolled in Medicare Practice Location: N5367 Mayflower Rd, Shiocton, WI 54170 Phone: 920-986-3003
Ms. Rebecca Louise Pein, MS, LPC, LPCC Counselor Medicare: Medicare Enrolled Practice Location: N5367 Mayflower Rd, Shiocton, WI 54170 Phone: 920-986-3003 Fax: 920-986-3004
Janice Spangler, MA Counselor Medicare: Medicare Enrolled Practice Location: N5367 Mayflower Rd, Shiocton, WI 54170 Phone: 920-986-3003
Mrs. Ruthe Ann Zimmerman, Counselor Medicare: Not Enrolled in Medicare Practice Location: N5367 Mayflower Rd, Shiocton, WI 54170 Phone: 920-203-1528
Brittany Lynn Louise Ellie, Counselor Medicare: Not Enrolled in Medicare Practice Location: N5367 Mayflower Rd, Shiocton, WI 54170 Phone: 877-300-9101

Jennifer Marie Dudek, LPCIT - Medicare Counselor in Shiocton, WI