Diana Gale Ham, LPC in Mansfield, TX - Medicare Counselor Provider

Diana Gale Ham, LPC is a medicare enrolled "Counselor - Professional" provider in Mansfield, Texas. Her current practice location is 1800 E Broad St, Annex C, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 812-2880.

Diana Gale Ham is licensed to practice in Texas (license number 60397) 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 1770093718.

Contact Information

	Diana Gale Ham, LPC
	1800 E Broad St, Annex C, Mansfield, TX 76063-3411
	(817) 812-2880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Diana Gale Ham
Gender	Female
Speciality	Counselor - Professional
Location	1800 E Broad St, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770093718
Provider Enumeration Date: 10/04/2017
Last Update Date: 10/11/2017

Medicare PECOS Information:

PECOS PAC ID: 3577905793
Enrollment ID: I20240520002826

Medical Identifiers

Medical identifiers for Diana Gale Ham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770093718	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	60397 (Texas)	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. Diana Gale Ham allows following entities to bill medicare on her behalf.

Entity Name	Logos Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881852952 PECOS PAC ID: 3476804519 Enrollment ID: O20180928000545

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. Diana Gale Ham 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
Diana Gale Ham, LPC 5751 Park Vista Circle, Suite 101, Keller, TX 76244-5607 Ph: (817) 812-2880	Diana Gale Ham, LPC 1800 E Broad St, Annex C, Mansfield, TX 76063-3411 Ph: (817) 812-2880

Reviews and Comments

Counselor in Mansfield, TX

Mrs. Rachel Hall Henning, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 Strada Cir, Mansfield, TX 76063 Phone: 972-741-3379
Jeffrey S Gallup, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1285 N Main St, 101-10, Mansfield, TX 76063 Phone: 214-952-2324
Kristina M. Jennings, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Regency Pkwy, Suite #601, Mansfield, TX 76063 Phone: 409-363-3469 Fax: 817-539-0498
Matthew G Lewis, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1285 N Main St Ste 101-5, Mansfield, TX 76063 Phone: 682-651-7621 Fax: 817-887-3409
Kimberly Neufeld, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Debbie Ln Ste 103, Mansfield, TX 76063 Phone: 817-797-9868
Rosheen Marguerite Haumann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Strada Cir Ste 111, Mansfield, TX 76063 Phone: 817-618-3849 Fax: 817-476-0712
Imani Brown, MED, LPC-INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Strada Cir Ste 220, Mansfield, TX 76063 Phone: 214-686-5856

Diana Gale Ham, LPC - Medicare Counselor in Mansfield, TX