Kellie Bouldin, LPC in Cheyenne, WY - Medicare Counselor Provider

Kellie Bouldin, LPC is a medicare enrolled "Counselor - Professional" provider in Cheyenne, Wyoming. Her current practice location is 2617 E Lincolnway Ste G, Cheyenne, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 514-1288.

Kellie Bouldin is licensed to practice in Wyoming (license number LPC-1727) 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 1124482328.

Contact Information

	Kellie Bouldin, LPC
	2617 E Lincolnway Ste G, Cheyenne, WY 82001-5671
	(307) 514-1288
	(307) 514-0979

Map and Direction

Healthcare Provider's Profile

Full Name	Kellie Bouldin
Gender	Female
Speciality	Counselor - Professional
Location	2617 E Lincolnway Ste G, Cheyenne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124482328
Provider Enumeration Date: 04/13/2016
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9133565351
Enrollment ID: I20240311002237

Medical Identifiers

Medical identifiers for Kellie Bouldin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124482328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	LPC-1727 (Wyoming)	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. Kellie Bouldin allows following entities to bill medicare on her behalf.

Entity Name	Hope Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467093666 PECOS PAC ID: 3476980673 Enrollment ID: O20200228000769

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. Kellie Bouldin 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
Kellie Bouldin, LPC 2617 E Lincolnway Ste G, Cheyenne, WY 82001-5671 Ph: (307) 514-1288	Kellie Bouldin, LPC 2617 E Lincolnway Ste G, Cheyenne, WY 82001-5671 Ph: (307) 514-1288

Reviews and Comments

Counselor in Cheyenne, WY

Maelee Ann Havens, LPC-1917 Counselor Medicare: Medicare Enrolled Practice Location: 2600 E 18th St, Cheyenne, WY 82001 Phone: 307-633-7370
Alexander James Barrera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6900 Alden Dr Bldg 160, Cheyenne, WY 82005 Phone: 307-773-2998
Ms. Aurelia Neuda, MS LPC LAT Counselor Medicare: Medicare Enrolled Practice Location: 2526 Seymour Ave, Cheyenne, WY 82001 Phone: 307-634-9653 Fax: 307-638-8256
Shaundra K Drysdale, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Rawlins St, Cheyenne, WY 82001 Phone: 307-426-4797
Linnaea Despain Sutphin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 E 17th St Ste 210, Cheyenne, WY 82001 Phone: 307-996-7964
Dr. David Harold Birney, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 W 29th St, Cheyenne, WY 82001 Phone: 307-426-4724
Becky Marie Lauridsen, PPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Rawlins St, Cheyenne, WY 82001 Phone: 307-426-4798 Fax: 307-426-4799

Kellie Bouldin, LPC - Medicare Counselor in Cheyenne, WY