Carly Blemmel, MSHR LPC in Roseburg, OR - Medicare Counselor Provider

Carly Blemmel, MSHR LPC is a medicare enrolled "Counselor - Professional" provider in Roseburg, Oregon. Her current practice location is 2589 Nw Edenbower Blvd, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 839-1345.

Carly Blemmel is licensed to practice in Oregon (license number C6861) 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 1194116715.

Contact Information

	Carly Blemmel, MSHR LPC
	2589 Nw Edenbower Blvd, Roseburg, OR 97471-6224
	(541) 839-1345
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Blemmel
Gender	Female
Speciality	Counselor - Professional
Location	2589 Nw Edenbower Blvd, Roseburg, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194116715
Provider Enumeration Date: 02/18/2015
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 8325498405
Enrollment ID: I20240102002759

Medical Identifiers

Medical identifiers for Carly Blemmel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194116715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	7774 (Oklahoma)	Secondary
324500000X	Substance Abuse Rehabilitation Facility	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	C6861 (Oregon)	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. Carly Blemmel allows following entities to bill medicare on her behalf.

Entity Name	Adapt
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720010549 PECOS PAC ID: 4587662887 Enrollment ID: O20061121000327

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. Carly Blemmel 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
Carly Blemmel, MSHR LPC Po Box 740, Talihina, OK 74571-0740 Ph: () -	Carly Blemmel, MSHR LPC 2589 Nw Edenbower Blvd, Roseburg, OR 97471-6224 Ph: (541) 839-1345

Reviews and Comments

Counselor in Roseburg, OR

Hanna Rae Culbertson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 Ne Stephens St, Roseburg, OR 97470 Phone: 541-229-7089 Fax: 541-229-9908
Elisabeth Erin Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Se Jackson St, Roseburg, OR 97470 Phone: 541-464-6660
Mr. Dale Edward Williams, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554
Inger C Boyd, MA ED., BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554
Mae L Hoopes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 541-673-5642
Sarah Rebecca Jo Moon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470 Phone: 541-672-2691
Lois Francis-wolf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471 Phone: 541-672-5667 Fax: 541-672-1048

Carly Blemmel, MSHR LPC - Medicare Counselor in Roseburg, OR