Jessica Dallman, MA, LPC NCC is a medicare enrolled "Counselor - Mental Health" provider in Mount Horeb, Wisconsin. Her current practice location is
1523 Wisconsin 78 Trunk, Mount Horeb, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(701) 870-0022.
Jessica Dallman is licensed to practice in Wisconsin (license number 6985-125) 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 1780059238.
Healthcare Provider's Profile
Full Name | Jessica Dallman |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1523 Wisconsin 78 Trunk, Mount Horeb, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780059238
- Provider Enumeration Date: 12/09/2015
- Last Update Date: 05/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 6709292600
- Enrollment ID: I20250102001605
Medical Identifiers
Medical identifiers for Jessica Dallman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780059238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 0014141 (Colorado) | Secondary |
101YM0800X | Counselor - Mental Health | 6985-125 (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. Jessica Dallman allows following entities to bill medicare on her behalf.
Entity Name | Natural Wisdom Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811509979 PECOS PAC ID: 4587191507 Enrollment ID: O20250102001627 |
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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 Dallman 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 Dallman, MA, LPC NCC 1523 Wisconsin 78 Trunk, Mount Horeb, WI 53572 Ph: (701) 870-0022 | Jessica Dallman, MA, LPC NCC 1523 Wisconsin 78 Trunk, Mount Horeb, WI 53572 Ph: (701) 870-0022 |
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