Jessica Demerise Small, LCPC-C - Medicare Counselor in Bangor, ME

Jessica Demerise Small, LCPC-C is a medicare enrolled "Counselor - Mental Health" provider in Bangor, Maine. Her current practice location is 202 Exchange St, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 941-6434.

Jessica Demerise Small is licensed to practice in Maine (license number XL4254) 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 1033540687.

Contact Information

Jessica Demerise Small, LCPC-C
202 Exchange St,
Bangor, ME 04401-6508
(207) 941-6434
(207) 941-9366

Healthcare Provider's Profile

Full NameJessica Demerise Small
GenderFemale
SpecialityCounselor - Mental Health
Location202 Exchange St, Bangor, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033540687
  • Provider Enumeration Date: 12/09/2013
  • Last Update Date: 12/09/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2163867409
  • Enrollment ID: I20240227001853

Medical Identifiers

Medical identifiers for Jessica Demerise Small such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033540687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health XL4254 (Maine)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. Jessica Demerise Small allows following entities to bill medicare on her behalf.
Entity NameHealth Affiliates Maine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932413556
PECOS PAC ID: 1951594076
Enrollment ID: O20101021000912

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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 Demerise Small 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 AddressPractice Location Address
Jessica Demerise Small, LCPC-C
202 Exchange St,
Bangor, ME 04401-6508

Ph: (207) 941-6434
Jessica Demerise Small, LCPC-C
202 Exchange St,
Bangor, ME 04401-6508

Ph: (207) 941-6434

News Archive

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Counselor in Bangor, ME

Joan Reinholdtsen,
Counselor
Medicare: Medicare Enrolled
Practice Location: 157 Park St, Bangor, ME 04401
Phone: 207-992-0410    
Emily A Goode, LCPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 86 Davis Rd, Bangor, ME 04401
Phone: 207-992-2205    Fax: 207-992-2207
Beth Cottrell,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 444 Stillwater Ave Ste 104, Bangor, ME 04401
Phone: 207-659-6510    
Melissa Leary, ADCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 689 Odlin Rd, Bangor, ME 04401
Phone: 207-947-6800    
Mrs. Debbie Lynn Webber, MED, LCPC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 24 Springer Road, 1 Springer Place Suite 202, Bangor, ME 04401
Phone: 207-992-2535    Fax: 207-992-2539
Nicholas Jon Pelkey, LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 96 Harlow St, Suite 360, Bangor, ME 04401
Phone: 207-945-9777    Fax: 207-945-9780
Amanda Elliott, ADCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 689 Odlin Rd Ste 1, Bangor, ME 04401
Phone: 207-947-6800    

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