Jessica Tara Dixon-neal, LPC is a medicare enrolled "Counselor - Professional" provider in Porter, Oklahoma. She graduated from healthcare school in 2021 and has 4 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Arkansas Verdigris Valley Health Centers, Inc. and her current practice location is
505 S Main St, Porter, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 483-0111.
Jessica Tara Dixon-neal is licensed to practice in Oklahoma (license number 10393) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1124697511.
Healthcare Provider's Profile
| Full Name | Jessica Tara Dixon-neal |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 4 Years |
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| Location | 505 S Main St, Porter, Oklahoma |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jessica Tara Dixon-neal graduated from medical school in 2021
NPI Data:
- NPI Number: 1124697511
- Provider Enumeration Date: 06/21/2021
- Last Update Date: 06/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032557475
- Enrollment ID: I20240404002701
Medical Identifiers
Medical identifiers for Jessica Tara Dixon-neal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124697511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 10393 (Oklahoma) | 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 Tara Dixon-neal allows following entities to bill medicare on her behalf.
| Entity Name | Arkansas Verdigris Valley Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083740047 PECOS PAC ID: 2961594916 Enrollment ID: O20070822000520 |
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| Entity Name | Soaak Clinics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497592596 PECOS PAC ID: 8426578527 Enrollment ID: O20250219002850 |
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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 Tara Dixon-neal 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 Tara Dixon-neal, LPC 1450 Stone Crest Dr, Edmond, OK 73034-6605 Ph: (918) 734-7797 | Jessica Tara Dixon-neal, LPC 505 S Main St, Porter, OK 74454-1015 Ph: (918) 483-0111 |
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