Jessica Lyn Debolt, in West Columbia, SC - Medicare Counselor Provider

Jessica Lyn Debolt, is a medicare enrolled "Counselor" provider in West Columbia, South Carolina. Her current practice location is 3969 Southeastern Way, West Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 851-4049.

Jessica Lyn Debolt is licensed to practice in South Carolina (license number 7738) 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 1760150700.

Contact Information

	Jessica Lyn Debolt,
	3969 Southeastern Way, West Columbia, SC 29169-2442
	(803) 851-4049
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Lyn Debolt
Gender	Female
Speciality	Counselor
Location	3969 Southeastern Way, West Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760150700
Provider Enumeration Date: 09/03/2021
Last Update Date: 09/03/2021

Medicare PECOS Information:

PECOS PAC ID: 4284154782
Enrollment ID: I20250227002496

Medical Identifiers

Medical identifiers for Jessica Lyn Debolt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760150700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	7738 (South Carolina)	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 Lyn Debolt allows following entities to bill medicare on her behalf.

Entity Name	South Carolina Dept Of Mental Health Accounting Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041

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 Lyn Debolt 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 Lyn Debolt, 7837 Exeter Ln, Columbia, SC 29223-2519 Ph: (315) 775-6054	Jessica Lyn Debolt, 3969 Southeastern Way, West Columbia, SC 29169-2442 Ph: (803) 851-4049

Reviews and Comments

Counselor in West Columbia, SC

John Loren Safko, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Dr N, West Columbia, SC 29169 Phone: 803-739-8600
Amanda Charlotte-weinland Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2490 Fish Hatchery Rd Unit G3, West Columbia, SC 29172 Phone: 916-397-7852
William Ryan Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4788 Platt Springs Rd, West Columbia, SC 29170 Phone: 803-359-8595
Tiffany Deanna Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 Lake Frances Dr, West Columbia, SC 29170 Phone: 803-429-1259
Devin Dotter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2277 Sunset Blvd, West Columbia, SC 29169 Phone: 888-796-1117 Fax: 803-996-5228
Sharon Denice Harvin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Hospital Dr N, West Columbia, SC 29169 Phone: 803-739-8600
Dana A Gates, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 749 B Ave, West Columbia, SC 29169 Phone: 803-467-4787

Jessica Lyn Debolt, - Medicare Counselor in West Columbia, SC