Jessica Holesko, MS, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Ponte Vedra, Florida. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Shukrana Llc and her current practice location is
1102 A1a N Ste 203, Ponte Vedra, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 569-6875.
Jessica Holesko is licensed to practice in Florida (license number MT4694) 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 1447988472.
Healthcare Provider's Profile
| Full Name | Jessica Holesko |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 5 Years |
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| Location | 1102 A1a N Ste 203, Ponte Vedra, Florida |
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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. |
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Medical Education and Training:
- Jessica Holesko graduated from medical school in 2021
NPI Data:
- NPI Number: 1447988472
- Provider Enumeration Date: 08/09/2022
- Last Update Date: 12/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496106015
- Enrollment ID: I20240109000320
Medical Identifiers
Medical identifiers for Jessica Holesko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447988472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | MT4694 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shukrana Llc | 7618335159 | 2 |
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. Jessica Holesko allows following entities to bill medicare on her behalf.
| Entity Name | Shukrana Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053018143
PECOS PAC ID: 7618335159
Enrollment ID: O20230615001821 |
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| Entity Name | Rivers Of Hope Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922607977
PECOS PAC ID: 1254706567
Enrollment ID: O20240117003594 |
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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. Jessica Holesko 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 |
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Jessica Holesko, MS, LMFT
29 Arbor Club Dr Unit 103,
Ponte Vedra Beach, FL 32082-2606
Ph: (904) 514-9621 | Jessica Holesko, MS, LMFT
1102 A1a N Ste 203,
Ponte Vedra, FL 32082-4098
Ph: (904) 569-6875 |
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