Keith Michael Ingulli, in Bend, OR - Medicare Counselor Provider

Keith Michael Ingulli, is a medicare enrolled "Counselor - Mental Health" provider in Bend, Oregon. His current practice location is 2065 Ne Tucson Way Apt 110, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 383-3005.

Keith Michael Ingulli 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 1487897518.

Contact Information

	Keith Michael Ingulli,
	2065 Ne Tucson Way Apt 110, Bend, OR 97701-5182
	(541) 383-3005
	(541) 383-1883

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Michael Ingulli
Gender	Male
Speciality	Counselor - Mental Health
Location	2065 Ne Tucson Way Apt 110, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487897518
Provider Enumeration Date: 04/20/2009
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2860768470
Enrollment ID: I20171026002197

Medical Identifiers

Medical identifiers for Keith Michael Ingulli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487897518	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. Keith Michael Ingulli allows following entities to bill medicare on his behalf.

Entity Name	Mosaic Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371

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. Keith Michael Ingulli 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
Keith Michael Ingulli, 600 Sw Columbia St Ste 6250, Bend, OR 97702-1099 Ph: (541) 383-3005	Keith Michael Ingulli, 2065 Ne Tucson Way Apt 110, Bend, OR 97701-5182 Ph: (541) 383-3005

Reviews and Comments

Counselor in Bend, OR

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Jenny Marie Wolleat, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1646 Ne Edgecliff Cir, Bend, OR 97701 Phone: 971-506-5366
Cara Miller, Counselor Medicare: Medicare Enrolled Practice Location: 20370 Poe Sholes Dr, Bend, OR 97701 Phone: 541-318-1377
Mrs. Stacy Ann Campbell, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Nw Park Pl, Bend, OR 97703 Phone: 208-577-1595 Fax: 541-640-5538
Dr. Ryan F Reese, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Nw Wall St, Bend, OR 97703 Phone: 541-241-6575
Corey May, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 Ne Greenwood Ave Ste 215, Bend, OR 97701 Phone: --

Keith Michael Ingulli, - Medicare Counselor in Bend, OR