Erik Plymale, LPCC - Medicare Counselor in Owenton, KY

Erik Plymale, LPCC is a medicare enrolled "Counselor - Professional" provider in Owenton, Kentucky. His current practice location is 155 W Seminary St, Owenton, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 331-3292.

Erik Plymale is licensed to practice in Kentucky (license number 171003) 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 1265852123.

Contact Information

Erik Plymale, LPCC
155 W Seminary St,
Owenton, KY 40359-1573
(859) 331-3292
(859) 578-2864

Map and Direction


Healthcare Provider's Profile

Full NameErik Plymale
GenderMale
SpecialityCounselor - Professional
Location155 W Seminary St, Owenton, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265852123
  • Provider Enumeration Date: 04/18/2014
  • Last Update Date: 09/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7719425719
  • Enrollment ID: I20240821000512

Medical Identifiers

Medical identifiers for Erik Plymale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265852123NPI-NPPES
610661458OtherKYTAX ID
7100434430MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 171003 (Kentucky)Secondary
101YP2500XCounselor - Professional 171003 (Kentucky)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. Erik Plymale allows following entities to bill medicare on his behalf.
Entity NameProdigal Ministries Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013662717
PECOS PAC ID: 2860840493
Enrollment ID: O20231121000960

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. Erik Plymale 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 AddressPractice Location Address
Erik Plymale, LPCC
502 Farrell Dr,
Covington, KY 41011-3717

Ph: (859) 578-3204
Erik Plymale, LPCC
155 W Seminary St,
Owenton, KY 40359-1573

Ph: (859) 331-3292

Reviews and Comments


Counselor in Owenton, KY

Mary Overberg, MSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 155 Seminary Road, Owenton, KY 40359
Phone: 502-484-3464    
Laura J. Dallalio-crotty,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8930 Georgetown Rd, Owenton, KY 40359
Phone: 502-797-6890    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.