Jaclynn Mary Friesen, in Fitchburg, WI - Medicare Marriage & Family Therapist Provider

Jaclynn Mary Friesen, is a medicare enrolled "Marriage & Family Therapist" provider in Fitchburg, Wisconsin. Her current practice location is 6131 Nesbitt Rd Ste 200, Fitchburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 203-6267.

Jaclynn Mary Friesen is licensed to practice in Wisconsin (license number 1054-228) 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 1932887619.

Contact Information

	Jaclynn Mary Friesen,
	6131 Nesbitt Rd Ste 200, Fitchburg, WI 53719-1891
	(608) 203-6267
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclynn Mary Friesen
Gender	Female
Speciality	Marriage & Family Therapist
Location	6131 Nesbitt Rd Ste 200, Fitchburg, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932887619
Provider Enumeration Date: 07/11/2023
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 7315467297
Enrollment ID: I20250221002404

Medical Identifiers

Medical identifiers for Jaclynn Mary Friesen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932887619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	1054-228 (Wisconsin)	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. Jaclynn Mary Friesen allows following entities to bill medicare on her behalf.

Entity Name	Uplands Counseling Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770599078 PECOS PAC ID: 4981635653 Enrollment ID: O20050823000739

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. Jaclynn Mary Friesen 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
Jaclynn Mary Friesen, 1270 Okeeffe Ave Apt 220, Sun Prairie, WI 53590-4235 Ph: (507) 210-7716	Jaclynn Mary Friesen, 6131 Nesbitt Rd Ste 200, Fitchburg, WI 53719-1891 Ph: (608) 203-6267

Reviews and Comments

Marriage & Family Therapist in Fitchburg, WI

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Debra I Polacek, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5930 Seminole Centre Ct Ste A, Fitchburg, WI 53711 Phone: 608-571-7470
Kristin Naylor, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5152 E Cheryl Pkwy Unit 206, Fitchburg, WI 53711 Phone: 906-399-1989

Jaclynn Mary Friesen, - Medicare Couples Therapy in Fitchburg, WI