Ms Teresa Jayne Connell, LPC, ATR-BC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Jacksonville, Oregon. She graduated from healthcare school in 2002 and has 24 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Bridges To Wellbeing Llc and her current practice location is
648 Hueners Ln Unit F, Jacksonville, Oregon. You can reach out to her office (for appointments etc.) via phone at
(512) 459-3353.
Ms Teresa Jayne Connell is licensed to practice in Oregon (license number C8877) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598916231.
Healthcare Provider's Profile
| Full Name | Ms Teresa Jayne Connell |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 24 Years |
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| Location | 648 Hueners Ln Unit F, Jacksonville, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Teresa Jayne Connell graduated from medical school in 2002
NPI Data:
- NPI Number: 1598916231
- Provider Enumeration Date: 09/30/2008
- Last Update Date: 12/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375070543
- Enrollment ID: I20241230001790
Medical Identifiers
Medical identifiers for Ms Teresa Jayne Connell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598916231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | C8877 (Oregon) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 18917 (Texas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Bridges To Wellbeing Llc | 1951785054 | 3 |
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. Ms Teresa Jayne Connell allows following entities to bill medicare on her behalf.
| Entity Name | Bridges To Wellbeing Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710570783 PECOS PAC ID: 1951785054 Enrollment ID: O20220908000392 |
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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 Teresa Jayne 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 Teresa Jayne Connell, LPC, ATR-BC, NCC 648 Hueners Ln Unit F, Jacksonville, OR 97530-9023 Ph: (512) 213-0575 | Ms Teresa Jayne Connell, LPC, ATR-BC, NCC 648 Hueners Ln Unit F, Jacksonville, OR 97530-9023 Ph: (512) 459-3353 |
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