Jerry Davis, LMHC in Greensburg, IN - Medicare Counselor Provider

Jerry Davis, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Greensburg, Indiana. His current practice location is 1530 Commerce Park West Drive, Greensburg, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 663-7057.

Jerry Davis is licensed to practice in Indiana (license number 39001542A) 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 1457323560.

Contact Information

	Jerry Davis, LMHC
	1530 Commerce Park West Drive, Greensburg, IN 47240
	(812) 663-7057
	(812) 378-8367

Map and Direction

Healthcare Provider's Profile

Full Name	Jerry Davis
Gender	Male
Speciality	Counselor - Mental Health
Location	1530 Commerce Park West Drive, Greensburg, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457323560
Provider Enumeration Date: 02/02/2006
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 0345693461
Enrollment ID: I20240125000603

Medical Identifiers

Medical identifiers for Jerry Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457323560	NPI	-	NPPES
000000321018	Other	IN	ANTHEM PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39001542A (Indiana)	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. Jerry Davis allows following entities to bill medicare on his behalf.

Entity Name	Centerstone Of Indiana, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711

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. Jerry 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 Address	Practice Location Address
Jerry Davis, LMHC 720 N Marr Rd, Columbus, IN 47201-6660 Ph: (812) 314-3400	Jerry Davis, LMHC 1530 Commerce Park West Drive, Greensburg, IN 47240 Ph: (812) 663-7057

Reviews and Comments

Counselor in Greensburg, IN

Michael Miller, PHD, HSPP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1530 N Commerce West Dr, Greensburg, IN 47240 Phone: 812-663-7057 Fax: 812-663-6735
Kristy Macku, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1530 N Commerce W Dr, Greensburg, IN 47240 Phone: 812-663-7057
Rachel Paige Schuck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 W Keegans Way Ste 3, Greensburg, IN 47240 Phone: 812-200-2789
Courtney Wittmer, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1530 Commerce Park Drive West, Greensburg, IN 47240 Phone: 812-663-7057

Jerry Davis, LMHC - Medicare Counselor in Greensburg, IN