Alyssa Klugh, CACII in Canon City, CO - Medicare Counselor Provider

Alyssa Klugh, CACII is a medicare enrolled "Counselor - Mental Health" provider in Canon City, Colorado. Her current practice location is 107 S 9th St, Canon City, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 221-0959.

Alyssa Klugh is licensed to practice in Colorado (license number 10643) 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 1255618344.

Contact Information

	Alyssa Klugh, CACII
	107 S 9th St, Canon City, CO 81212-3800
	(719) 221-0959
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alyssa Klugh
Gender	Female
Speciality	Counselor - Mental Health
Location	107 S 9th St, Canon City, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255618344
Provider Enumeration Date: 11/03/2011
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 1355794280
Enrollment ID: I20240126004084

Medical Identifiers

Medical identifiers for Alyssa Klugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255618344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	7382 (Colorado)	Secondary
101YM0800X	Counselor - Mental Health	10643 (Colorado)	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. Alyssa Klugh allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

Entity Name	Sacred Self Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710614102 PECOS PAC ID: 6901242775 Enrollment ID: O20240314003826

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. Alyssa Klugh 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
Alyssa Klugh, CACII 921 Barr Ave, Canon City, CO 81212-2131 Ph: (719) 221-0959	Alyssa Klugh, CACII 107 S 9th St, Canon City, CO 81212-3800 Ph: (719) 221-0959

Reviews and Comments

Counselor in Canon City, CO

Ms. Tina Lorraine Bezona, LPC Counselor Medicare: Medicare Enrolled Practice Location: 107 S 9th St, Canon City, CO 81212 Phone: 719-430-5929
Mrs. Verena Johanna Burger Schmid, LPC, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Royal Gorge Blvd, Suite #228, Canon City, CO 81212 Phone: 719-248-8093 Fax: 888-242-6614
Lori L. Meffley, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 N 7th St, Canon City, CO 81212 Phone: 719-269-3229 Fax: 719-269-8328
Alan Donald, CAC II Counselor Medicare: Medicare Enrolled Practice Location: 602 Yale Pl, Canon City, CO 81212 Phone: 719-275-0700
Jenifer Papaccio, Counselor Medicare: Medicare Enrolled Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351
Jenifer L Burbank, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 N 7th St, Canon City, CO 81212 Phone: 719-416-5407
Tonya Woodson, BS CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 3239 Independence Rd, Canon City, CO 81212 Phone: 719-275-7650

Alyssa Klugh, CACII - Medicare Counselor in Canon City, CO