Ms Jennifer Thor O'connell, MA is a medicare enrolled "Counselor - Mental Health" provider in Avon, North Carolina. Her current practice location is
41838 Nc 12, Ste 104, Avon, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 996-0706.
Ms Jennifer Thor O'connell is licensed to practice in North Carolina (license number 14375) 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 1548667983.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Thor O'connell |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 41838 Nc 12, Avon, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548667983
- Provider Enumeration Date: 12/01/2014
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002339652
- Enrollment ID: I20250325001620
Medical Identifiers
Medical identifiers for Ms Jennifer Thor O'connell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548667983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 14375 (North Carolina) | Primary |
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. Ms Jennifer Thor O'connell 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 |
Ms Jennifer Thor O'connell, MA Po Box 274, Buxton, NC 27920-0274 Ph: (919) 280-5031 | Ms Jennifer Thor O'connell, MA 41838 Nc 12, Ste 104, Avon, NC 27915 Ph: (252) 996-0706 |
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