Jessenia Soto, - Medicare Counselor in Pipersville, PA

Jessenia Soto, is a medicare enrolled "Counselor - Mental Health" provider in Pipersville, Pennsylvania. Her current practice location is 6926 Old Easton Rd, Pipersville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 528-9061.

Jessenia Soto is licensed to practice in * (Not Available) (license number ) 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 1255031837.

Contact Information

Jessenia Soto,
6926 Old Easton Rd,
Pipersville, PA 18947
(267) 528-9061
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJessenia Soto
GenderFemale
SpecialityCounselor - Mental Health
Location6926 Old Easton Rd, Pipersville, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255031837
  • Provider Enumeration Date: 03/03/2023
  • Last Update Date: 03/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193252898
  • Enrollment ID: I20241219000334

Medical Identifiers

Medical identifiers for Jessenia Soto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255031837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))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. Jessenia Soto allows following entities to bill medicare on her behalf.
Entity NameLenape Valley Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780735407
PECOS PAC ID: 7719960913
Enrollment ID: O20040609000871

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. Jessenia Soto 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
Jessenia Soto,
Po Box 250,
Pipersville, PA 18947-0250

Ph: (267) 528-9061
Jessenia Soto,
6926 Old Easton Rd,
Pipersville, PA 18947

Ph: (267) 528-9061

Reviews and Comments


Counselor in Pipersville, PA

Tonya Harrison, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6926 Old Easton Rd, Pipersville, PA 18947
Phone: 267-528-9037    Fax: 267-363-3220
Genevieve Post, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6926 Old Easton Rd, Pipersville, PA 18947
Phone: 267-528-9061    Fax: 267-363-3220
Dakota J Sheehan, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 32 Ervin Rd, Pipersville, PA 18947
Phone: 215-766-4988    
Jennifer Mehler, MED
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6926 Old Easton Rd, Pipersville, PA 18947
Phone: 267-528-9061    
Chantelle Skavery,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6926 Old Easton Rd, Pipersville, PA 18947
Phone: 267-528-9061    
Dr. Richard Joseph Estell, PH.D.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4974 W Rolling Glen Dr, Pipersville, PA 18947
Phone: 215-766-9928    Fax: 609-633-1526

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.