Jessica Psujek Wakefield, LCMHC, NBC-HWC is a medicare enrolled "Health & Wellness Coach" provider in Greenville, North Carolina. Her current practice location is
2610 Stantonsburg Rd, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 816-9477.
Jessica Psujek Wakefield 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 1629397740.
Healthcare Provider's Profile
| Full Name | Jessica Psujek Wakefield |
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| Gender | Female |
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| Speciality | Health & Wellness Coach |
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| Location | 2610 Stantonsburg Rd, Greenville, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629397740
- Provider Enumeration Date: 05/28/2010
- Last Update Date: 03/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799208765
- Enrollment ID: I20250331002350
Medical Identifiers
Medical identifiers for Jessica Psujek Wakefield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629397740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 7297 (North Carolina) | Secondary |
| 171400000X | Health & Wellness Coach | (* (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. Jessica Psujek Wakefield allows following entities to bill medicare on her behalf.
| Entity Name | Vidant Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445 |
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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 Psujek Wakefield 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 |
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Jessica Psujek Wakefield, LCMHC, NBC-HWC
1919 Cherry Stone Ln,
Greenville, NC 27858-9415
Ph: (919) 475-6094 | Jessica Psujek Wakefield, LCMHC, NBC-HWC
2610 Stantonsburg Rd,
Greenville, NC 27834-2800
Ph: (252) 816-9477 |
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