Georgia R Keenan, LPC in Lacrosse, WI - Medicare Counselor Provider

Georgia R Keenan, LPC is a medicare enrolled "Counselor - Professional" provider in Lacrosse, Wisconsin. Her current practice location is 212 S 11th Street, Lacrosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 791-9555.

Georgia R Keenan is licensed to practice in Wisconsin (license number 1700) 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 1295773091.

Contact Information

	Georgia R Keenan, LPC
	212 S 11th Street, Lacrosse, WI 54601
	(608) 791-9555
	(608) 791-9432

Map and Direction

Healthcare Provider's Profile

Full Name	Georgia R Keenan
Gender	Female
Speciality	Counselor - Professional
Location	212 S 11th Street, Lacrosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295773091
Provider Enumeration Date: 06/03/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8628429529
Enrollment ID: I20240104002547

Medical Identifiers

Medical identifiers for Georgia R Keenan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295773091	NPI	-	NPPES
39648500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1700 (Wisconsin)	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. Georgia R Keenan allows following entities to bill medicare on her behalf.

Entity Name	Avera Mckennan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117

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. Georgia R Keenan 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
Georgia R Keenan, LPC 700 West Avenue South, Attn Physician Services, Lacrosse, WI 54601 Ph: (608) 791-4156	Georgia R Keenan, LPC 212 S 11th Street, Lacrosse, WI 54601 Ph: (608) 791-9555

Reviews and Comments

Counselor in Lacrosse, WI

Amy S Cina, CADC CCSG Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Jackson St, Lacrosse, WI 54601 Phone: 608-791-6147 Fax: 608-791-9511
Julie A Conway, SW LPC Counselor Medicare: Medicare Enrolled Practice Location: 212 S 11th Street, Lacrosse, WI 54601 Phone: 608-791-9555 Fax: 608-791-9432
Debra A Murray, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 S 11th Street, Lacrosse, WI 54601 Phone: 608-791-9555 Fax: 608-791-9432
John S Schulze, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1022 Division Street, Lacrosse, WI 54601 Phone: 608-782-7700 Fax: 608-791-9431
Roberta A Mack, MS CADCIII LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 S 11th Street, Lacrosse, WI 54601 Phone: 608-791-9555 Fax: 608-791-9432
Pamela K Reynolds, CADC III CC5G Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Jackson Street, Lacrosse, WI 54601 Phone: 608-791-6147 Fax: 608-791-9511

Georgia R Keenan, LPC - Medicare Counselor in Lacrosse, WI