Alicia Back, LPCC in Hamilton, OH - Medicare Counselor Provider

Alicia Back, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Hamilton, Ohio. Her current practice location is 2250 Pleasant Ave, Hamilton, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 868-4872.

Alicia Back is licensed to practice in Ohio (license number E.1200715-SUPV) 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 1629518584.

Contact Information

	Alicia Back, LPCC
	2250 Pleasant Ave, Hamilton, OH 45015-1135
	(513) 868-4872
	(513) 868-1415

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia Back
Gender	Female
Speciality	Counselor - Mental Health
Location	2250 Pleasant Ave, Hamilton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629518584
Provider Enumeration Date: 02/27/2017
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 9739532359
Enrollment ID: I20240131001501

Medical Identifiers

Medical identifiers for Alicia Back such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629518584	NPI	-	NPPES
0207830	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E.1200715-SUPV (Ohio)	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. Alicia Back allows following entities to bill medicare on her behalf.

Entity Name	Central Clinic Outpatient Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326589722 PECOS PAC ID: 3870860380 Enrollment ID: O20170602002131

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. Alicia Back 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
Alicia Back, LPCC 2250 Pleasant Ave, Hamilton, OH 45015-1135 Ph: (513) 868-4872	Alicia Back, LPCC 2250 Pleasant Ave, Hamilton, OH 45015-1135 Ph: (513) 868-4872

Reviews and Comments

Counselor in Hamilton, OH

Wendy Wimmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1490 University Blvd, Hamilton, OH 45011 Phone: 513-881-7189 Fax: 513-881-7188
Brandy Kay Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1490 University Blvd, Hamilton, OH 45011 Phone: 513-881-7189 Fax: 513-881-7188
Lisa Lewis, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3103 Dixie Hwy, Hamilton, OH 45015 Phone: 513-892-4673 Fax: 513-737-1107
Griffin Barlag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 Fairgrove Ave Ste E, Hamilton, OH 45011 Phone: 513-299-4025
Ms. Laura Pressley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2250 Pleasant Ave, Hamilton, OH 45015 Phone: 513-558-9006
Brandi Suzanne Lyons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1490 University Blvd, Hamilton, OH 45011 Phone: 513-881-7189 Fax: 513-881-7188
Nicholas Andrew Frklic, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Dayton St, Hamilton, OH 45011 Phone: 513-896-7654

Alicia Back, LPCC - Medicare Counselor in Hamilton, OH