Jeremy Phan, MS in Wake Forest, NC - Medicare Counselor Provider

Jeremy Phan, MS is a medicare enrolled "Counselor - Mental Health" provider in Wake Forest, North Carolina. His current practice location is 2006 S Main St Ste 206, Wake Forest, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 671-6438.

Jeremy Phan is licensed to practice in North Carolina (license number 17961) 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 1851030126.

Contact Information

	Jeremy Phan, MS
	2006 S Main St Ste 206, Wake Forest, NC 27587-9391
	(919) 671-6438
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Phan
Gender	Male
Speciality	Counselor - Mental Health
Location	2006 S Main St Ste 206, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851030126
Provider Enumeration Date: 06/03/2022
Last Update Date: 12/06/2024

Medicare PECOS Information:

PECOS PAC ID: 9537681515
Enrollment ID: I20250319002119

Medical Identifiers

Medical identifiers for Jeremy Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851030126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	17961 (North Carolina)	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. Jeremy Phan allows following entities to bill medicare on his behalf.

Entity Name	Vision Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588974158 PECOS PAC ID: 5395988133 Enrollment ID: O20130827000600

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 Phan 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
Jeremy Phan, MS 2006 S Main St Ste 206, Wake Forest, NC 27587-9391 Ph: (919) 671-6438	Jeremy Phan, MS 2006 S Main St Ste 206, Wake Forest, NC 27587-9391 Ph: (919) 671-6438

Reviews and Comments

Counselor in Wake Forest, NC

Mrs. Mary Muthoni Barine, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 916 Windemere Ln, Wake Forest, NC 27587 Phone: 919-562-7713
Rachel Renee Costin Schwenn, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Capcom Ave, Wake Forest, NC 27587 Phone: 919-810-8905
Gary Schwager, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 W. Vernon St., Wake Forest, NC 27587 Phone: 919-903-3182 Fax: 919-554-9232
Ms. Fedoria Latorya Bynum, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 1411 Supernova St Apt 307, Wake Forest, NC 27587 Phone: 336-708-9342
Rick Mckoy, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Meadow Glen Dr, Wake Forest, NC 27587 Phone: 919-818-4371
Harper O'neill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1756 Heritage Center Dr Ste 104, Wake Forest, NC 27587 Phone: 984-235-2545
Ms. Amanda Ramey, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 851 Durham Rd Ste B, Wake Forest, NC 27587 Phone: 919-891-0063

Jeremy Phan, MS - Medicare Counselor in Wake Forest, NC