Jeremy Keith Davis, LPCC, LPC, LADC, SAC - Medicare Counselor in Bloomington, MN

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Jeremy Keith Davis, LPCC, LPC, LADC, SAC is a medicare enrolled "Counselor - Mental Health" provider in Bloomington, Minnesota. His current practice location is 8200 Humboldt Ave S Ste 100, Bloomington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 454-0421.

Jeremy Keith Davis is licensed to practice in Minnesota (license number 2076) 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 1518208206.

Contact Information

Jeremy Keith Davis, LPCC, LPC, LADC, SAC
8200 Humboldt Ave S Ste 100,
Bloomington, MN 55431-1433
(952) 454-0421
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJeremy Keith Davis
GenderMale
SpecialityCounselor - Mental Health
Location8200 Humboldt Ave S Ste 100, Bloomington, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518208206
  • Provider Enumeration Date: 03/06/2013
  • Last Update Date: 11/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9133572837
  • Enrollment ID: I20240130000710

Medical Identifiers

Medical identifiers for Jeremy Keith Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518208206NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 5690-125 (Wisconsin)Secondary
101YM0800XCounselor - Mental Health 2076 (Minnesota)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 15822-131 (Wisconsin)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 305108 (Minnesota)Secondary

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. Jeremy Keith Davis allows following entities to bill medicare on his behalf.
Entity NameHudson Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396849303
PECOS PAC ID: 0648183061
Enrollment ID: O20031121000807
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031223000493
Entity NameAmery Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763518
PECOS PAC ID: 2769391960
Enrollment ID: O20040131000207
Entity NameSt. Croix Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043240922
PECOS PAC ID: 9335032184
Enrollment ID: O20040205000217
Entity NameWestfields Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881640183
PECOS PAC ID: 2264490960
Enrollment ID: O20090122000350

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. Jeremy Keith Davis 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
Jeremy Keith Davis, LPCC, LPC, LADC, SAC
405 Stageline Rd,
Hudson, WI 54016-1793

Ph: (715) 531-6000		Jeremy Keith Davis, LPCC, LPC, LADC, SAC
8200 Humboldt Ave S Ste 100,
Bloomington, MN 55431-1433

Ph: (952) 454-0421

Reviews and Comments


Counselor in Bloomington, MN

Abdulhakim D Mohamed,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8200 Humboldt Ave S, Bloomington, MN 55431
Phone: 952-454-0421    Fax: 952-426-4935
Ashley Ripley,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1801 American Blvd E Ste 8, Bloomington, MN 55425
Phone: 952-767-2267    
Zaynab Abdirahman Abdullahi,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9340 James Ave S, Bloomington, MN 55431
Phone: 612-226-0907    
Ido Ahmed Weli,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9340 James Ave S, Bloomington, MN 55431
Phone: 612-226-0907    
Adna Mohamud,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9340 James Ave S, Bloomington, MN 55431
Phone: 612-226-0907    
Amar Deeq Yussuf,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1701 American Blvd E Ste 19, Bloomington, MN 55425
Phone: 952-212-0358    
Amanda Schmidt,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1101 E 78th St Ste 100, Bloomington, MN 55420
Phone: 952-854-5034    

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).

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