Jeesenia Zavala, QTT-LPC-IT is a medicare enrolled "Counselor - Professional" in Milwaukee, Wisconsin. Her current practice location is
2906 S 20th St, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 672-1353.
Jeesenia Zavala is licensed to practice in Wisconsin (license number 5426-226) 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 1073234191.
Provider's Profile
| Full Name | Jeesenia Zavala |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 2906 S 20th St, Milwaukee, Wisconsin |
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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: 1073234191
- Provider Enumeration Date: 09/07/2022
- Last Update Date: 06/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032654744
- Enrollment ID: I20240717001706
Medical Identifiers
Medical identifiers for Jeesenia Zavala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073234191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 5426-226 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 5426-226 (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. Jeesenia Zavala allows following entities to bill medicare on her behalf.
| Entity Name | 16th Street Community Health Center Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417912999 PECOS PAC ID: 6709876857 Enrollment ID: O20040512001352 |
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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. Jeesenia Zavala 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 |
Jeesenia Zavala, QTT-LPC-IT Po Box 778789, Chicago, IL 60677-8789 Ph: (414) 672-1353 | Jeesenia Zavala, QTT-LPC-IT 2906 S 20th St, Milwaukee, WI 53215-3732 Ph: (414) 672-1353 |
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