Jeremy Vern Woodliff, LPC in Wautoma, WI - Medicare Counselor Provider

Jeremy Vern Woodliff, LPC is a medicare enrolled "Counselor - Professional" provider in Wautoma, Wisconsin. His current practice location is 230 Park St, Wautoma, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 787-6550.

Jeremy Vern Woodliff is licensed to practice in Wisconsin (license number 8752-125) 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 1316616592.

Contact Information

	Jeremy Vern Woodliff, LPC
	230 Park St, Wautoma, WI 54982-9031
	(920) 787-6550
	(920) 787-0421

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Vern Woodliff
Gender	Male
Speciality	Counselor - Professional
Location	230 Park St, Wautoma, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316616592
Provider Enumeration Date: 09/10/2021
Last Update Date: 01/04/2023

Medicare PECOS Information:

PECOS PAC ID: 2062942139
Enrollment ID: I20250214002726

Medical Identifiers

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

Identifier	Type	State	Issuer
1316616592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4018-226 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	8752-125 (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. Jeremy Vern Woodliff allows following entities to bill medicare on his behalf.

Entity Name	Opportunity Development Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013161587 PECOS PAC ID: 6901263912 Enrollment ID: O20230607001040

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 Vern Woodliff 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 Vern Woodliff, LPC Po Box 1230, Wautoma, WI 54982-1230 Ph: (920) 787-6550	Jeremy Vern Woodliff, LPC 230 Park St, Wautoma, WI 54982-9031 Ph: (920) 787-6550

Reviews and Comments

Counselor in Wautoma, WI

Debra Jodarski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N4107 13th Ln, Wautoma, WI 54982 Phone: 920-787-2725
Mr. Patrick Isenberger, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550
Andrea Lee Behnke, APSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Ms. Bethany J Walker, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Mr. Paul Francis Theyel, CICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Kimberly Fairchild, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514
Veronica Eckstein, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 Fax: 920-787-4737

Jeremy Vern Woodliff, LPC - Medicare Counselor in Wautoma, WI