Angelina Vickers, in Deland, FL - Medicare Counselor Provider

Angelina Vickers, is a medicare enrolled "Counselor - Mental Health" provider in Deland, Florida. Her current practice location is 121 W Pennsylvania Ave, Deland, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 258-1618.

Angelina Vickers is licensed to practice in Florida (license number MH19970) 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 1821738659.

Contact Information

	Angelina Vickers,
	121 W Pennsylvania Ave, Deland, FL 32720-3429
	(386) 258-1618
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angelina Vickers
Gender	Female
Speciality	Counselor - Mental Health
Location	121 W Pennsylvania Ave, Deland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821738659
Provider Enumeration Date: 03/30/2022
Last Update Date: 07/15/2023

Medicare PECOS Information:

PECOS PAC ID: 8022453281
Enrollment ID: I20240227002855

Medical Identifiers

Medical identifiers for Angelina Vickers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821738659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH19970 (Florida)	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. Angelina Vickers allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023277571 PECOS PAC ID: 8325370950 Enrollment ID: O20200203001460

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. Angelina Vickers 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
Angelina Vickers, 500 Bill France Blvd Unit 11465, Daytona Beach, FL 32120-7102 Ph: (407) 900-7905	Angelina Vickers, 121 W Pennsylvania Ave, Deland, FL 32720-3429 Ph: (386) 258-1618

Reviews and Comments

Counselor in Deland, FL

Mrs. Melanie Christine Bingham, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1103 Evergreen Pl, Deland, FL 32720 Phone: 407-284-9383
Chelsea Hannon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 N Woodland Blvd, Deland, FL 32720 Phone: 386-734-7571
Anthony Louis Massey, M.ED, ED.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 E New York Ave Ste B, Deland, FL 32724 Phone: 386-738-5543 Fax: 386-734-8330
Elizabeth Charleen Greeff, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 Pine Tree Ct, Deland, FL 32724 Phone: 386-747-0103
Michelle Patterson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 W New York Ave Ste 210, Deland, FL 32720 Phone: 407-797-5289
Latisha Y Bordley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 E Villa Capri Cir Apt F, Deland, FL 32724 Phone: 302-331-1450
Katharine Allison Usher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Plymouth Ave, Deland, FL 32720 Phone: 386-873-2963

Angelina Vickers, - Medicare Counselor in Deland, FL