Alexa Evon Demoe, LPC in Shell Lake, WI - Medicare Counselor Provider

Alexa Evon Demoe, LPC is a medicare enrolled "Counselor - Mental Health" provider in Shell Lake, Wisconsin. Her current practice location is 246 Industrial Blvd, Shell Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 468-2841.

Alexa Evon Demoe is licensed to practice in Wisconsin (license number 8404-125) 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 1780240184.

Contact Information

	Alexa Evon Demoe, LPC
	246 Industrial Blvd, Shell Lake, WI 54871-8889
	(715) 468-2841
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexa Evon Demoe
Gender	Female
Speciality	Counselor - Mental Health
Location	246 Industrial Blvd, Shell Lake, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780240184
Provider Enumeration Date: 05/13/2019
Last Update Date: 08/24/2022

Medicare PECOS Information:

PECOS PAC ID: 8628510278
Enrollment ID: I20240611000976

Medical Identifiers

Medical identifiers for Alexa Evon Demoe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780240184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4173-226 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	8404-125 (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. Alexa Evon Demoe allows following entities to bill medicare on her behalf.

Entity Name	Soar Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437571569 PECOS PAC ID: 6406398163 Enrollment ID: O20240610001306

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. Alexa Evon Demoe 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
Alexa Evon Demoe, LPC Po Box 265, Shell Lake, WI 54871-0265 Ph: () -	Alexa Evon Demoe, LPC 246 Industrial Blvd, Shell Lake, WI 54871-8889 Ph: (715) 468-2841

Reviews and Comments

Counselor in Shell Lake, WI

Andrew Schulz, QTT Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E County Highway B, Shell Lake, WI 54871 Phone: 715-468-2841
Emma Bemlott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E County Highway B, Shell Lake, WI 54871 Phone: 715-468-2841
Wendy Muska, Counselor Medicare: Medicare Enrolled Practice Location: 800 E County Hwy B, Shell Lake, WI 54871 Phone: 715-468-2841
Mary Ellen Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 Industrial Blvd, Shell Lake, WI 54871 Phone: 715-468-2841
Matthew Michael Meyer, M.A. LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 600 E County Hwy B, Shell Lake, WI 54871 Phone: 715-468-2841
Brian Nord, Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 Industrial Blvd, Shell Lake, WI 54871 Phone: 715-468-2841 Fax: 715-468-2374
Cathy Marie Ekern, LPC MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 Industrial Blvd, Shell Lake, WI 54871 Phone: 715-468-2841

Alexa Evon Demoe, LPC - Medicare Counselor in Shell Lake, WI