Alicia D Mainka, LPC, LMFT in Vicksburg, MS - Medicare Counselor Provider

Alicia D Mainka, LPC, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Vicksburg, Mississippi. Her current practice location is 1210 Polk St, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 456-2633.

Alicia D Mainka is licensed to practice in * (Not Available) (license number ) 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 1477850618.

Contact Information

	Alicia D Mainka, LPC, LMFT
	1210 Polk St, Vicksburg, MS 39180-5024
	(601) 456-2633
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia D Mainka
Gender	Female
Speciality	Counselor - Mental Health
Location	1210 Polk St, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477850618
Provider Enumeration Date: 02/24/2011
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2769826965
Enrollment ID: I20240215002353

Medical Identifiers

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

Identifier	Type	State	Issuer
1477850618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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 D Mainka allows following entities to bill medicare on her behalf.

Entity Name	Mainka Teletherapy Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700648631 PECOS PAC ID: 9335583541 Enrollment ID: O20240215002627

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 D Mainka 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 D Mainka, LPC, LMFT 665 S Pear Orchard Rd Ste 106, Ridgeland, MS 39157-4859 Ph: (601) 456-2633	Alicia D Mainka, LPC, LMFT 1210 Polk St, Vicksburg, MS 39180-5024 Ph: (601) 456-2633

Reviews and Comments

Counselor in Vicksburg, MS

Kaila Virgil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3334 Wisconsin Ave., Vicksburg, MS 39180 Phone: 601-638-0031
Tiffany Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Felicia Wilson, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Heather Potts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Rosalyn Glascoe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Ann Nelson, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Mr. Walter Lee Frazier, MCP, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1414 Cherry St, Vicksburg, MS 39180 Phone: 601-636-5703 Fax: 601-636-5739

Alicia D Mainka, LPC, LMFT - Medicare Counselor in Vicksburg, MS