Molly Jelak, LPC is a medicare enrolled "Counselor - Mental Health" provider in Bayside, Wisconsin. Her current practice location is
905 E Bay Point Rd, Bayside, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 640-3475.
Molly Jelak is licensed to practice in Wisconsin (license number 7072-125) 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 1164980058.
Healthcare Provider's Profile
| Full Name | Molly Jelak |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 905 E Bay Point Rd, Bayside, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164980058
- Provider Enumeration Date: 03/09/2019
- Last Update Date: 03/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 7618497074
- Enrollment ID: I20250228001134
Medical Identifiers
Medical identifiers for Molly Jelak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164980058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 7072-125 (Wisconsin) | 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. Molly Jelak allows following entities to bill medicare on her behalf.
| Entity Name | Mental Health Specialty Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240729000310 |
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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. Molly Jelak 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 |
Molly Jelak, LPC 905 E Bay Point Rd, Bayside, WI 53217-1355 Ph: (414) 640-3475 | Molly Jelak, LPC 905 E Bay Point Rd, Bayside, WI 53217-1355 Ph: (414) 640-3475 |
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