Carolyn Polk, MA, LPC in Farmington, MO - Medicare Counselor Provider

Carolyn Polk, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Farmington, Missouri. Her current practice location is 400 N Washington St, Suite 116, Farmington, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 218-9653.

Carolyn Polk is licensed to practice in Missouri (license number 2013002023) 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 1518325448.

Contact Information

	Carolyn Polk, MA, LPC
	400 N Washington St, Suite 116, Farmington, MO 63640-1716
	(573) 218-9653
	(573) 803-1405

Map and Direction

Healthcare Provider's Profile

Full Name	Carolyn Polk
Gender	Female
Speciality	Counselor - Professional
Location	400 N Washington St, Farmington, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518325448
Provider Enumeration Date: 02/06/2016
Last Update Date: 02/06/2016

Medicare PECOS Information:

PECOS PAC ID: 4587013776
Enrollment ID: I20231213002243

Medical Identifiers

Medical identifiers for Carolyn Polk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518325448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2013002023 (Missouri)	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. Carolyn Polk allows following entities to bill medicare on her behalf.

Entity Name	Family Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127

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. Carolyn Polk 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
Carolyn Polk, MA, LPC 2909 Independence St, Cape Girardeau, MO 63703-5044 Ph: (573) 803-1402	Carolyn Polk, MA, LPC 400 N Washington St, Suite 116, Farmington, MO 63640-1716 Ph: (573) 218-9653

Reviews and Comments

Counselor in Farmington, MO

Lynn Machelle Knox, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 Progress Dr, Farmington, MO 63640 Phone: 573-756-1969 Fax: 573-747-1151
Laura Kirkley, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 17885 Hart Pinkston Rd, Farmington, MO 63640 Phone: 573-747-9115
Dena Boyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 N Washington St, Suite 116, Farmington, MO 63640 Phone: 573-218-9653 Fax: 573-803-1405
Stella M Naeger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 N Washington St, Farmington, MO 63640 Phone: 573-756-6101 Fax: 573-756-6420
Michelle Lynn Woods, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-6451
Alana Brooke Sucharski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 821 Hillsboro Rd Apt 65, Farmington, MO 63640 Phone: 573-631-2297
Mrs. Jane Ellen Wagner-garner, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W Pine St, Farmington, MO 63640 Phone: 573-701-5902

Carolyn Polk, MA, LPC - Medicare Counselor in Farmington, MO