Jon Curtis Leyse, LMHCA in Fort Wayne, IN - Medicare Counselor Provider

Jon Curtis Leyse, LMHCA is a medicare enrolled "Counselor - Mental Health" provider in Fort Wayne, Indiana. His current practice location is 8211 W Jefferson Blvd Rm 300, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (877) 594-9204.

Jon Curtis Leyse is licensed to practice in Indiana (license number 88001227A) 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 1912628702.

Contact Information

	Jon Curtis Leyse, LMHCA
	8211 W Jefferson Blvd Rm 300, Fort Wayne, IN 46804-4796
	(877) 594-9204
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jon Curtis Leyse
Gender	Male
Speciality	Counselor - Mental Health
Location	8211 W Jefferson Blvd Rm 300, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912628702
Provider Enumeration Date: 09/08/2022
Last Update Date: 09/08/2022

Medicare PECOS Information:

PECOS PAC ID: 7416307541
Enrollment ID: I20240102001185

Medical Identifiers

Medical identifiers for Jon Curtis Leyse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912628702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	88001227A (Indiana)	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. Jon Curtis Leyse allows following entities to bill medicare on his behalf.

Entity Name	Renovate Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689135279 PECOS PAC ID: 6103246376 Enrollment ID: O20201009001472

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. Jon Curtis Leyse 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
Jon Curtis Leyse, LMHCA 201 South St, Monroe, IN 46772-9361 Ph: (260) 223-5927	Jon Curtis Leyse, LMHCA 8211 W Jefferson Blvd Rm 300, Fort Wayne, IN 46804-4796 Ph: (877) 594-9204

Reviews and Comments

Counselor in Fort Wayne, IN

Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289
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Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500
Mrs. Molly Christina Colglazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10102 Woodland Plaza Cv Ste A, Fort Wayne, IN 46825 Phone: 260-240-4200
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778

Jon Curtis Leyse, LMHCA - Medicare Counselor in Fort Wayne, IN