Mr Jaylen Avery Bowman, LPC in Corpus Christi, TX

Mr Jaylen Avery Bowman, LPC is a medicare enrolled "Counselor - Mental Health" provider in Corpus Christi, Texas. His current practice location is 1546 S Brownlee Blvd, Corpus Christi, Texas. You can reach out to his office (for appointments etc.) via phone at (361) 886-1317.

Mr Jaylen Avery Bowman is licensed to practice in Texas (license number 83751) 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 1154029593.

Contact Information

	Mr Jaylen Avery Bowman, LPC
	1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142
	(361) 886-1317
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jaylen Avery Bowman
Gender	Male
Speciality	Counselor - Mental Health
Location	1546 S Brownlee Blvd, Corpus Christi, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154029593
Provider Enumeration Date: 02/15/2023
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7618325457
Enrollment ID: I20231204003724

Medical Identifiers

Medical identifiers for Mr Jaylen Avery Bowman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154029593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	83751 (Texas)	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. Mr Jaylen Avery Bowman allows following entities to bill medicare on his behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

Entity Name	Phoenix Rising Wellness Center Of Corpus Christi, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659950343 PECOS PAC ID: 0547618845 Enrollment ID: O20231128000251

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. Mr Jaylen Avery Bowman 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
Mr Jaylen Avery Bowman, LPC 6301 Meadowvista Dr Apt 421, Corpus Christi, TX 78414-2635 Ph: (361) 695-4063	Mr Jaylen Avery Bowman, LPC 1546 S Brownlee Blvd, Corpus Christi, TX 78404-3142 Ph: (361) 886-1317

Reviews and Comments

Counselor in Corpus Christi, TX

Ms. D. Charlene Hackett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7252 Mansions Dr, Corpus Christi, TX 78414 Phone: 360-304-0392
Robert Keith Martin, BA LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 S Alameda, Ste 150, Corpus Christi, TX 78404 Phone: 361-854-9199 Fax: 361-888-9250
Mrs. Edra B Saavedra, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Waco St, Corpus Christi, TX 78401 Phone: 361-886-1484
Brenda Kay Brown, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3434 S Alameda St, Corpus Christi, TX 78411 Phone: 361-855-2710 Fax: 361-855-4204
Mrs. Raquel Lobaina, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4610 Coody Ln, Corpus Christi, TX 78413 Phone: 305-799-9609
Mr. Robert Reed Berlin Jr., M.ED., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3833 S Staples St, S-213, Corpus Christi, TX 78411 Phone: 361-945-5840
Jaime Tuggle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 Texan Trl Ste 210, Corpus Christi, TX 78411 Phone: 361-654-0204 Fax: 361-654-0207

Mr Jaylen Avery Bowman, LPC - Medicare Counselor in Corpus Christi, TX