Kelly J Luckey, LCPC in Bloomington, IL - Medicare Counselor Provider

Kelly J Luckey, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Bloomington, Illinois. Her current practice location is 1003 Martin Luther King Dr, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 924-3786.

Kelly J Luckey is licensed to practice in Illinois (license number 180.002681) 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 1063280048.

Contact Information

	Kelly J Luckey, LCPC
	1003 Martin Luther King Dr, Bloomington, IL 61701-1429
	(888) 924-3786
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly J Luckey
Gender	Female
Speciality	Counselor - Mental Health
Location	1003 Martin Luther King Dr, Bloomington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063280048
Provider Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1850742651
Enrollment ID: I20240105001840

Medical Identifiers

Medical identifiers for Kelly J Luckey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063280048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	180.002681 (Illinois)	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. Kelly J Luckey allows following entities to bill medicare on her behalf.

Entity Name	Chestnut Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738

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. Kelly J Luckey 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
Kelly J Luckey, LCPC 448 Wylie Dr, Normal, IL 61761-5405 Ph: (888) 924-3786	Kelly J Luckey, LCPC 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 Ph: (888) 924-3786

Reviews and Comments

Counselor in Bloomington, IL

Mr. Bryan James Hinman, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-557-1409
William Douglas Portis, LCPC CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704 Phone: 309-889-6222
Victoria Fetter, Counselor Medicare: Medicare Enrolled Practice Location: 808 S Eldorado Rd Ste 102, Bloomington, IL 61704 Phone: 888-428-7890 Fax: 877-428-7891
Timothy Robert Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351
Mr. Joshua Beckwith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808
Mrs. Lisa Diane Neuweg, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-827-6026
Mr. Harold Frank Piccinelli, M.S., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026

Kelly J Luckey, LCPC - Medicare Counselor in Bloomington, IL