Mr Jon Ed Kassaw, MA LPCC in Estancia, NM - Medicare Counselor Provider

Mr Jon Ed Kassaw, MA LPCC is a medicare enrolled "Counselor - Mental Health" provider in Estancia, New Mexico. His current practice location is 903c 5th Street, Estancia, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 384-2777.

Mr Jon Ed Kassaw is licensed to practice in New Mexico (license number CCMH0182191) 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 1225181035.

Contact Information

	Mr Jon Ed Kassaw, MA LPCC
	903c 5th Street, Estancia, NM 87016-0807
	(505) 384-2777
	(505) 384-2204

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jon Ed Kassaw
Gender	Male
Speciality	Counselor - Mental Health
Location	903c 5th Street, Estancia, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225181035
Provider Enumeration Date: 01/18/2007
Last Update Date: 02/20/2023

Medicare PECOS Information:

PECOS PAC ID: 3173962230
Enrollment ID: I20240422003265

Medical Identifiers

Medical identifiers for Mr Jon Ed Kassaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225181035	NPI	-	NPPES
CCMH0182191	Other		NM THERAP BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CCMH0182191 (New Mexico)	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 Jon Ed Kassaw allows following entities to bill medicare on his behalf.

Entity Name	Presbyterian Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414

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 Jon Ed Kassaw 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 Jon Ed Kassaw, MA LPCC Po Box 807, Estancia, NM 87016-0807 Ph: (505) 384-2777	Mr Jon Ed Kassaw, MA LPCC 903c 5th Street, Estancia, NM 87016-0807 Ph: (505) 384-2777

Reviews and Comments

Counselor in Estancia, NM

Dr. Pamela Jo Hartman, D.MIN., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 903c 5th St., Estancia, NM 87016 Phone: 505-384-2777 Fax: 505-384-2204
Mr. Oliver Matthew Gallegos, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 903c North 5th Street, Estancia, NM 87016 Phone: 505-806-8898
Barbara Ann Rattenborg, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Allen, Valencia Counseling, Estancia, NM 87016 Phone: 505-384-0220 Fax: 505-384-0222
Louise A White, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Allen St, Estancia, NM 87016 Phone: 505-384-0220
Fedelina Dolores Romero Padilla, LSAA Counselor Medicare: Not Enrolled in Medicare Practice Location: 903 C 5th Street, Estancia, NM 87016 Phone: 505-384-2777 Fax: 505-384-2204
Kenneth J Mckee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Allen St, Estancia, NM 87016 Phone: 505-384-0220

Mr Jon Ed Kassaw, MA LPCC - Medicare Counselor in Estancia, NM