Billy Wideman, MS, NCC, LPC in Claremore, OK - Medicare Counselor Provider

Billy Wideman, MS, NCC, LPC is a medicare enrolled "Counselor - Mental Health" provider in Claremore, Oklahoma. His current practice location is 12005 E 470 Rd, Claremore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 342-0770.

Billy Wideman is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902271364.

Contact Information

	Billy Wideman, MS, NCC, LPC
	12005 E 470 Rd, Claremore, OK 74017-3737
	(918) 342-0770
	(918) 342-0087

Map and Direction

Healthcare Provider's Profile

Full Name	Billy Wideman
Gender	Male
Speciality	Counselor - Mental Health
Location	12005 E 470 Rd, Claremore, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902271364
Provider Enumeration Date: 12/09/2015
Last Update Date: 06/02/2020

Medicare PECOS Information:

PECOS PAC ID: 7315384716
Enrollment ID: I20240321000275

Medical Identifiers

Medical identifiers for Billy Wideman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902271364	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. Billy Wideman allows following entities to bill medicare on his behalf.

Entity Name	Grand Lake Mental Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174

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. Billy Wideman 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
Billy Wideman, MS, NCC, LPC 12005 E 470 Rd, Claremore, OK 74017-3737 Ph: (918) 342-0770	Billy Wideman, MS, NCC, LPC 12005 E 470 Rd, Claremore, OK 74017-3737 Ph: (918) 342-0770

Reviews and Comments

Counselor in Claremore, OK

Becky Ann Gafford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 W Will Rogers Blvd, Claremore, OK 74017 Phone: 918-810-8929
Tiffany Landis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-619-2557 Fax: 918-342-0087
Michaela Ruby Lacio, MHR, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770
Zaire Archuleta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 Fax: 918-342-0087
Valorie C Nagy, MHR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Road, Claremore, OK 74017 Phone: 918-342-0770
Lucy Diane Estes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17599 S Highway 88, Claremore, OK 74017 Phone: 918-273-0770
Helen Provost, BSW/MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-374-0770 Fax: 918-342-0087

Billy Wideman, MS, NCC, LPC - Medicare Counselor in Claremore, OK