Jenelle Mazaris, is a medicare enrolled "Marriage & Family Therapist" provider in Plymouth, Michigan. She graduated from healthcare school in 2008 and has 18 years of diverse experience with area of expertise as Marriage And Family Therapist. Her current practice location is
705 S Main St, Suite 280, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 454-3560.
Jenelle Mazaris is licensed to practice in Michigan (license number 4101006577) 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 1700247962.
Healthcare Provider's Profile
| Full Name | Jenelle Mazaris |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 18 Years |
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| Location | 705 S Main St, Plymouth, Michigan |
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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:
- Jenelle Mazaris graduated from medical school in 2008
NPI Data:
- NPI Number: 1700247962
- Provider Enumeration Date: 03/16/2016
- Last Update Date: 03/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 0648789115
- Enrollment ID: I20250605000146
Medical Identifiers
Medical identifiers for Jenelle Mazaris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700247962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 4101006577 (Michigan) | 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. Jenelle Mazaris allows following entities to bill medicare on her behalf.
| Entity Name | Holistic Drama Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700380664 PECOS PAC ID: 9335668144 Enrollment ID: O20250524000125 |
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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. Jenelle Mazaris 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 |
Jenelle Mazaris, 3694 Clarkston Rd, Suite D, Clarkston, MI 48348-5213 Ph: (248) 410-0650 | Jenelle Mazaris, 705 S Main St, Suite 280, Plymouth, MI 48170-2089 Ph: (734) 454-3560 |
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