Jimmy D Widener, LPC in Cedar Bluff, VA - Medicare Counselor Provider

Jimmy D Widener, LPC is a medicare enrolled "Counselor - Professional" provider in Cedar Bluff, Virginia. His current practice location is Rte 19 - 460, Cedar Bluff, Virginia. You can reach out to his office (for appointments etc.) via phone at (276) 964-6702.

Jimmy D Widener is licensed to practice in Virginia (license number VA0701003500) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386684215.

Contact Information

	Jimmy D Widener, LPC
	Rte 19 - 460, Cedar Bluff, VA 24609
	(276) 964-6702
	(276) 964-5669

Map and Direction

Healthcare Provider's Profile

Full Name	Jimmy D Widener
Gender	Male
Speciality	Counselor - Professional
Location	Rte 19 - 460, Cedar Bluff, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386684215
Provider Enumeration Date: 06/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2860929726
Enrollment ID: I20241217002600

Medical Identifiers

Medical identifiers for Jimmy D Widener such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386684215	NPI	-	NPPES
278380	Other	VA	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	VA0701003500 (Virginia)	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. Jimmy D Widener allows following entities to bill medicare on his behalf.

Entity Name	Cumberland Mountain Community Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235125055 PECOS PAC ID: 2466355300 Enrollment ID: O20040129000239

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. Jimmy D Widener 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
Jimmy D Widener, LPC Po Box 810, Cedar Bluff, VA 24609 Ph: (276) 964-6702	Jimmy D Widener, LPC Rte 19 - 460, Cedar Bluff, VA 24609 Ph: (276) 964-6702

Reviews and Comments

Counselor in Cedar Bluff, VA

Alissa Joi Deel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 113 Cumberland Road, Cedar Bluff, VA 24609 Phone: 276-964-6702 Fax: 276-964-0292
Mrs. Karen Yvonne Waldron, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Town Hollow Rd, Cedar Bluff, VA 24609 Phone: 276-963-3554
Matt Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Town Hollow Rd, Cedar Bluff, VA 24609 Phone: 276-963-3554 Fax: 276-963-4653
Jennifer Robin Sword, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Cumberland Road, Cedar Bluff, VA 24609 Phone: 276-964-6702 Fax: 276-964-0292
Gretchen Anne Blevins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 Cumberland Rd, Cedar Bluff, VA 24609 Phone: 276-964-6702
Mrs. Tamara Mitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Town Hollow Road, Cedar Bluff, VA 24609 Phone: 276-963-3554
Michaela Afton Barnes, Counselor Medicare: Medicare Enrolled Practice Location: 111 Town Hollow Rd., Cedar Bluff, VA 24609 Phone: 276-963-3554

Jimmy D Widener, LPC - Medicare Counselor in Cedar Bluff, VA