Dr Bonita Marie Jackson-vergara, LICENSED COUNSELOR in Chesapeake, VA

Dr Bonita Marie Jackson-vergara, LICENSED COUNSELOR is a medicare enrolled "Counselor - Professional" provider in Chesapeake, Virginia. Her current practice location is 1545 Crossways Blvd Ste 250, Chesapeake, Virginia. You can reach out to her office (for appointments etc.) via phone at (704) 804-9614.

Dr Bonita Marie Jackson-vergara is licensed to practice in North Carolina (license number 4804) 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 1316967334.

Contact Information

	Dr Bonita Marie Jackson-vergara, LICENSED COUNSELOR
	1545 Crossways Blvd Ste 250, Chesapeake, VA 23320-0218
	(704) 804-9614
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bonita Marie Jackson-vergara
Gender	Female
Speciality	Counselor - Professional
Location	1545 Crossways Blvd Ste 250, Chesapeake, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316967334
Provider Enumeration Date: 07/20/2006
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 5991248155
Enrollment ID: I20240617003086

Medical Identifiers

Medical identifiers for Dr Bonita Marie Jackson-vergara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316967334	NPI	-	NPPES
6103317	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	0718000386 (Virginia)	Secondary
101YP2500X	Counselor - Professional	0701005902 (Virginia)	Secondary
101YP2500X	Counselor - Professional	4804 (North Carolina)	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. Dr Bonita Marie Jackson-vergara allows following entities to bill medicare on her behalf.

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000935

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. Dr Bonita Marie Jackson-vergara 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
Dr Bonita Marie Jackson-vergara, LICENSED COUNSELOR 800 Fox Ridge Trl, Chesapeake, VA 23322-6506 Ph: (704) 804-9614	Dr Bonita Marie Jackson-vergara, LICENSED COUNSELOR 1545 Crossways Blvd Ste 250, Chesapeake, VA 23320-0218 Ph: (704) 804-9614

Reviews and Comments

Counselor in Chesapeake, VA

Mrs. Mercedes Santos-bell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4037 Taylor Rd Ste D, Chesapeake, VA 23321 Phone: 917-406-6763
Ashley Marie Dyer, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2010 Old Greenbrier Rd Ste G, Chesapeake, VA 23320 Phone: 757-493-2912 Fax: 866-730-6583
Felicia Denise Dew, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4512 S Military Hwy, Chesapeake, VA 23321 Phone: 757-955-9001
Garris Ravae Osborne, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2118 English Ave, Chesapeake, VA 23320 Phone: 757-918-5433 Fax: 757-918-5433
Katrina A Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 Martin Ave, Chesapeake, VA 23324 Phone: 757-449-8278
Mrs. Sharon Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Gammon Trl, Chesapeake, VA 23322 Phone: 757-284-9184
Jenna M Pipolo, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 816 Greenbrier Cir Ste 100, Chesapeake, VA 23320 Phone: 757-301-8747

Dr Bonita Marie Jackson-vergara, LICENSED COUNSELOR - Medicare Counselor in Chesapeake, VA