Keaton Jake Suitter, LPC in Idaho Falls, ID - Medicare Counselor Provider

Keaton Jake Suitter, LPC is a medicare enrolled "Counselor - Mental Health" provider in Idaho Falls, Idaho. His current practice location is 502 S Woodruff Ave, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 346-7500.

Keaton Jake Suitter is licensed to practice in Idaho (license number LPC-9695) 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 1639852668.

Contact Information

	Keaton Jake Suitter, LPC
	502 S Woodruff Ave, Idaho Falls, ID 83401-5298
	(208) 346-7500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keaton Jake Suitter
Gender	Male
Speciality	Counselor - Mental Health
Location	502 S Woodruff Ave, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639852668
Provider Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 1052842507
Enrollment ID: I20241008002194

Medical Identifiers

Medical identifiers for Keaton Jake Suitter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639852668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC-9695 (Idaho)	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. Keaton Jake Suitter allows following entities to bill medicare on his behalf.

Entity Name	4 Pillars Of Success Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619134277 PECOS PAC ID: 4688027188 Enrollment ID: O20240131004474

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. Keaton Jake Suitter 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
Keaton Jake Suitter, LPC 502 S Woodruff Ave, Idaho Falls, ID 83401-5298 Ph: (208) 346-7500	Keaton Jake Suitter, LPC 502 S Woodruff Ave, Idaho Falls, ID 83401-5298 Ph: (208) 346-7500

Reviews and Comments

Counselor in Idaho Falls, ID

Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712
Jennie R Nelson, Counselor Medicare: Medicare Enrolled Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727
Mr. Richard A Troyer, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3760 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-524-4953 Fax: 208-524-7335
Kirk Thiemann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727

Keaton Jake Suitter, LPC - Medicare Counselor in Idaho Falls, ID