Derick Chappell, LMHC in Orlando, FL - Medicare Counselor Provider

Derick Chappell, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Orlando, Florida. His current practice location is 6900 Tavistock Lakes Blvd Ste 404, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 547-6169.

Derick Chappell 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 1245780105.

Contact Information

	Derick Chappell, LMHC
	6900 Tavistock Lakes Blvd Ste 404, Orlando, FL 32827-7593
	(407) 547-6169
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Derick Chappell
Gender	Male
Speciality	Counselor - Mental Health
Location	6900 Tavistock Lakes Blvd Ste 404, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245780105
Provider Enumeration Date: 10/04/2016
Last Update Date: 05/13/2021

Medicare PECOS Information:

PECOS PAC ID: 5890142699
Enrollment ID: I20231116001293

Medical Identifiers

Medical identifiers for Derick Chappell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245780105	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. Derick Chappell allows following entities to bill medicare on his behalf.

Entity Name	Counseling Resource Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164819041 PECOS PAC ID: 3779884093 Enrollment ID: O20151210001645

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. Derick Chappell 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
Derick Chappell, LMHC 6150 Metrowest Blvd Ste 103, Orlando, FL 32835-3290 Ph: (407) 730-3869	Derick Chappell, LMHC 6900 Tavistock Lakes Blvd Ste 404, Orlando, FL 32827-7593 Ph: (407) 547-6169

Reviews and Comments

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Derick Chappell, LMHC - Medicare Counselor in Orlando, FL