Mrs Jennifer Marie Wickersham, LPC in Webster Groves, MO

Mrs Jennifer Marie Wickersham, LPC is a medicare enrolled "Counselor - Professional" provider in Webster Groves, Missouri. Her current practice location is 69 Turf Ct, Webster Groves, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 651-2179.

Mrs Jennifer Marie Wickersham is licensed to practice in Missouri (license number 002754) 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 1023314168.

Contact Information

	Mrs Jennifer Marie Wickersham, LPC
	69 Turf Ct, Webster Groves, MO 63119-4619
	(314) 651-2179
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Marie Wickersham
Gender	Female
Speciality	Counselor - Professional
Location	69 Turf Ct, Webster Groves, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023314168
Provider Enumeration Date: 02/08/2011
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 0345658498
Enrollment ID: I20250307002315

Medical Identifiers

Medical identifiers for Mrs Jennifer Marie Wickersham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023314168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	002754 (Missouri)	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. Mrs Jennifer Marie Wickersham allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20250213001241

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. Mrs Jennifer Marie Wickersham 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
Mrs Jennifer Marie Wickersham, LPC 69 Turf Ct, Webster Groves, MO 63119-4619 Ph: (314) 651-2179	Mrs Jennifer Marie Wickersham, LPC 69 Turf Ct, Webster Groves, MO 63119-4619 Ph: (314) 651-2179

Reviews and Comments

Counselor in Webster Groves, MO

Michael Joseph Rose, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Clairmont Ave, Webster Groves, MO 63119 Phone: 314-265-0849
Ms. Thomasine Marie Nolan, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 758 Chamberlain Pl, Suite 202, Webster Groves, MO 63119 Phone: 314-346-1269
Melody Mcarthur, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Marshall Ave, Webster Groves, MO 63119 Phone: 314-309-9515
Crystal Kwentus, MA, ATR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 N Gore Ave, Webster Groves, MO 63119 Phone: 314-919-4773
Darnez Stokes, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N Elm Ave, Webster Groves, MO 63119 Phone: 314-740-5058
Lisa Marie Rusan, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N Elm Ave, Webster Groves, MO 63119 Phone: 314-961-5718

Mrs Jennifer Marie Wickersham, LPC - Medicare Counselor in Webster Groves, MO