Jessica Charlotte Fansler, in Macomb, IL - Medicare Counselor Provider

Jessica Charlotte Fansler, is a medicare enrolled "Counselor - Mental Health" provider in Macomb, Illinois. Her current practice location is 505 E Grant St Ste 310, Macomb, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 836-1582.

Jessica Charlotte Fansler is licensed to practice in Illinois (license number 150113935) 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 1033944624.

Contact Information

	Jessica Charlotte Fansler,
	505 E Grant St Ste 310, Macomb, IL 61455-3301
	(309) 836-1582
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Charlotte Fansler
Gender	Female
Speciality	Counselor - Mental Health
Location	505 E Grant St Ste 310, Macomb, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033944624
Provider Enumeration Date: 09/04/2024
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5294269361
Enrollment ID: I20241112001886

Medical Identifiers

Medical identifiers for Jessica Charlotte Fansler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033944624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	150113935 (Illinois)	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. Jessica Charlotte Fansler allows following entities to bill medicare on her behalf.

Entity Name	Mcdonough County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669420766 PECOS PAC ID: 0446140180 Enrollment ID: O20040611000228

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. Jessica Charlotte Fansler 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
Jessica Charlotte Fansler, 525 E Grant St, Macomb, IL 61455-3313 Ph: (309) 836-1582	Jessica Charlotte Fansler, 505 E Grant St Ste 310, Macomb, IL 61455-3301 Ph: (309) 836-1582

Reviews and Comments

Counselor in Macomb, IL

Aimee Anderson, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 900 S Deer Rd, Macomb, IL 61455 Phone: 309-837-4876 Fax: 309-833-1531
Kathleen Kenney, LCSW, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1 University Cir, Macomb, IL 61455 Phone: 630-483-7071 Fax: 630-483-7191
Elizabeth Marie Hock, LCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 S Deer Rd, Macomb, IL 61455 Phone: 309-575-3960 Fax: 309-575-3988
Ms. Kimberley S Laird, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 301 E Jefferson St, Macomb, IL 61455 Phone: 309-833-2191 Fax: 309-836-2118
Mr. John F Reinert, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 E Jefferson St, Macomb, IL 61455 Phone: 309-833-2191 Fax: 309-836-2118
Mrs. Marcia Renee Roodhouse, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1420 East Carroll Street, Macomb, IL 61455 Phone: 309-255-2931 Fax: 309-776-4349

Jessica Charlotte Fansler, - Medicare Counselor in Macomb, IL