Jessica Demerise Small, LCPC-C in Bangor, ME - Medicare Counselor Provider

Jessica Demerise Small, LCPC-C is a medicare enrolled "Counselor - Mental Health" provider in Bangor, Maine. Her current practice location is 202 Exchange St, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 941-6434.

Jessica Demerise Small is licensed to practice in Maine (license number XL4254) 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 1033540687.

Contact Information

	Jessica Demerise Small, LCPC-C
	202 Exchange St, Bangor, ME 04401-6508
	(207) 941-6434
	(207) 941-9366

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Demerise Small
Gender	Female
Speciality	Counselor - Mental Health
Location	202 Exchange St, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033540687
Provider Enumeration Date: 12/09/2013
Last Update Date: 12/09/2013

Medicare PECOS Information:

PECOS PAC ID: 2163867409
Enrollment ID: I20240227001853

Medical Identifiers

Medical identifiers for Jessica Demerise Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033540687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	XL4254 (Maine)	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 Demerise Small allows following entities to bill medicare on her behalf.

Entity Name	Health Affiliates Maine, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912

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 Demerise Small 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 Demerise Small, LCPC-C 202 Exchange St, Bangor, ME 04401-6508 Ph: (207) 941-6434	Jessica Demerise Small, LCPC-C 202 Exchange St, Bangor, ME 04401-6508 Ph: (207) 941-6434

Reviews and Comments

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Amanda Elliott, ADCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 689 Odlin Rd Ste 1, Bangor, ME 04401 Phone: 207-947-6800

Jessica Demerise Small, LCPC-C - Medicare Counselor in Bangor, ME