Dale J Brickley, PHD in Lebanon, PA - Medicare Counselor Provider

Dale J Brickley, PHD is a medicare enrolled "Counselor - Professional" provider in Lebanon, Pennsylvania. His current practice location is 283 S Butler Rd, Lebanon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 273-8871.

Dale J Brickley is licensed to practice in Pennsylvania (license number PC003542) 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 1225246937.

Contact Information

	Dale J Brickley, PHD
	283 S Butler Rd, Lebanon, PA 17042-8939
	(717) 273-8871
	(717) 270-2452

Map and Direction

Healthcare Provider's Profile

Full Name	Dale J Brickley
Gender	Male
Speciality	Counselor - Professional
Location	283 S Butler Rd, Lebanon, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225246937
Provider Enumeration Date: 05/18/2007
Last Update Date: 11/10/2022

Medicare PECOS Information:

PECOS PAC ID: 6901245679
Enrollment ID: I20240415000280

Medical Identifiers

Medical identifiers for Dale J Brickley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225246937	NPI	-	NPPES
103760371	Medicaid	PA
11738527	Other		CAQH ID
PC003542	Other	PA	STATE LICENSE - PROFESSIONAL COUNSELOR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC003542 (Pennsylvania)	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. Dale J Brickley allows following entities to bill medicare on his behalf.

Entity Name	Philhaven
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103

Entity Name	Wellspan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815

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. Dale J Brickley 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
Dale J Brickley, PHD 785 5th Ave Ste 3, Chambersburg, PA 17201-4232 Ph: (717) 263-9555	Dale J Brickley, PHD 283 S Butler Rd, Lebanon, PA 17042-8939 Ph: (717) 273-8871

Reviews and Comments

Counselor in Lebanon, PA

Grace Munz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741
Lindsay Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-272-5464 Fax: 717-376-1712
Shannon Dee Kramer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Schneider Dr, Lebanon, PA 17046 Phone: 717-270-2444 Fax: 717-270-2472
Jan Schober, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741 Fax: 717-274-5405
Katelyn Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741
Raquel Vega, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741 Fax: 717-274-5405
Tatiana Santodomingo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-272-5464

Dale J Brickley, PHD - Medicare Counselor in Lebanon, PA