Mr Jeffrey Daniel Brakhage, LPC in Leesburg, FL - Medicare Mental Health Counselor Provider

Mr Jeffrey Daniel Brakhage, LPC is a medicare enrolled "Counselor - Professional" provider in Leesburg, Florida. He graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Peninsula Community Health Services Of Alaska Inc and his current practice location is 1610 High St Apt 1, Leesburg, Florida. You can reach out to his office (for appointments etc.) via phone at (907) 252-8445.

Mr Jeffrey Daniel Brakhage is licensed to practice in Alaska (license number 155471) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578175253.

Contact Information

	Mr Jeffrey Daniel Brakhage, LPC
	1610 High St Apt 1, Leesburg, FL 34748-4731
	(907) 252-8445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jeffrey Daniel Brakhage
Gender	Male
Speciality	Mental Health Counselor
Experience	13 Years
Location	1610 High St Apt 1, Leesburg, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jeffrey Daniel Brakhage graduated from medical school in 2013

NPI Data:

NPI Number: 1578175253
Provider Enumeration Date: 08/23/2020
Last Update Date: 03/20/2026

Medicare PECOS Information:

PECOS PAC ID: 6507390671
Enrollment ID: I20241112002178

Medical Identifiers

Medical identifiers for Mr Jeffrey Daniel Brakhage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578175253	NPI	-	NPPES
1578175253	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	155471 (Alaska)	Primary
101YM0800X	Counselor - Mental Health	155471 (Alaska)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peninsula Community Health Services Of Alaska Inc	8426043894	21

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 Jeffrey Daniel Brakhage allows following entities to bill medicare on his behalf.

Entity Name	Peninsula Community Health Services Of Alaska Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700984614 PECOS PAC ID: 8426043894 Enrollment ID: O20040415000965

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 Jeffrey Daniel Brakhage 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 Jeffrey Daniel Brakhage, LPC 1610 High St Apt 1, Leesburg, FL 34748-4731 Ph: (907) 252-8445	Mr Jeffrey Daniel Brakhage, LPC 1610 High St Apt 1, Leesburg, FL 34748-4731 Ph: (907) 252-8445

Reviews and Comments

Counselor in Leesburg, FL

Linda L Silverman, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N 3rd St, Leesburg, FL 34748 Phone: 352-315-7900 Fax: 352-360-6582
Chloe Cummings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Doctors Ct, Leesburg, FL 34748 Phone: 352-327-4417
Cheryl Comes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2018 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7400
Arlene Olivarez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7803 Fax: 352-315-7587
Dr. Kristin Dewaila Gordon, DBH, LSSYB, RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 32428 Quiet Harbor Ave Unit 203, Leesburg, FL 34788 Phone: 850-346-6377
Ashlee Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N 3rd St, Leesburg, FL 34748 Phone: 352-315-7900
Steven Dolliver, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Talley Rd, Leesburg, FL 34748 Phone: 352-315-7800 Fax: 352-315-7587

Mr Jeffrey Daniel Brakhage, LPC - Medicare Counselor in Leesburg, FL