Brigh Lachele Klitz, LMHC in Sullivan, IN - Medicare Counselor Provider

Brigh Lachele Klitz, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Sullivan, Indiana. Her current practice location is 2200 N Section St, Sullivan, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 268-4311.

Brigh Lachele Klitz is licensed to practice in Indiana (license number 39004496A) 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 1083441968.

Contact Information

	Brigh Lachele Klitz, LMHC
	2200 N Section St, Sullivan, IN 47882-7523
	(812) 268-4311
	(812) 268-2544

Map and Direction

Healthcare Provider's Profile

Full Name	Brigh Lachele Klitz
Gender	Female
Speciality	Counselor - Mental Health
Location	2200 N Section St, Sullivan, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083441968
Provider Enumeration Date: 09/16/2024
Last Update Date: 09/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0345771390
Enrollment ID: I20241002000860

Medical Identifiers

Medical identifiers for Brigh Lachele Klitz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083441968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39004496A (Indiana)	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. Brigh Lachele Klitz allows following entities to bill medicare on her behalf.

Entity Name	Sullivan County Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497759260 PECOS PAC ID: 2466497482 Enrollment ID: O20070817000379

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. Brigh Lachele Klitz 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
Brigh Lachele Klitz, LMHC Po Box 10, Sullivan, IN 47882-0010 Ph: (812) 268-4311	Brigh Lachele Klitz, LMHC 2200 N Section St, Sullivan, IN 47882-7523 Ph: (812) 268-4311

Reviews and Comments

Counselor in Sullivan, IN

Mrs. Amanda Matthews-hargrave, LMHC, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 W Jackson St, Sullivan, IN 47882 Phone: 812-905-0182 Fax: 812-268-6767
Eleni Guoli, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2134 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-6376 Fax: 812-268-6377
Destiny Nicole Goldner, MS, LMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 N Section St, Sullivan, IN 47882 Phone: 812-268-4311
Danielle Hamilton, MS, NCC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 871 E England Dr, Sullivan, IN 47882 Phone: 812-236-9332
Angela Hayes, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2134 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-6376 Fax: 812-268-6377
Christina Hall, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Main St, Sullivan, IN 47882 Phone: 812-905-0192

Brigh Lachele Klitz, LMHC - Medicare Counselor in Sullivan, IN