Kenneth Dewayne Perry, in Jackson, TN - Medicare Counselor Provider

Kenneth Dewayne Perry, is a medicare enrolled "Counselor - Professional" provider in Jackson, Tennessee. His current practice location is 112 N Liberty St, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 736-4400.

Kenneth Dewayne Perry is licensed to practice in Tennessee (license number 12703) 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 1922770528.

Contact Information

	Kenneth Dewayne Perry,
	112 N Liberty St, Jackson, TN 38301-6200
	(731) 736-4400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Dewayne Perry
Gender	Male
Speciality	Counselor - Professional
Location	112 N Liberty St, Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922770528
Provider Enumeration Date: 10/01/2021
Last Update Date: 10/01/2021

Medicare PECOS Information:

PECOS PAC ID: 4789029273
Enrollment ID: I20240223001864

Medical Identifiers

Medical identifiers for Kenneth Dewayne Perry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922770528	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	12703 (Tennessee)	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. Kenneth Dewayne Perry allows following entities to bill medicare on his behalf.

Entity Name	Positive Living Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336614130 PECOS PAC ID: 8224367370 Enrollment ID: O20190916000575

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221116002565

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. Kenneth Dewayne Perry 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
Kenneth Dewayne Perry, 5905 Airways Blvd Bldg 231-5, Southaven, MS 38671-1921 Ph: (901) 650-6801	Kenneth Dewayne Perry, 112 N Liberty St, Jackson, TN 38301-6200 Ph: (731) 736-4400

Reviews and Comments

Counselor in Jackson, TN

Tony Hatley, LPC/MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Lamar Cir, Jackson, TN 38305 Phone: 731-220-2919
Doris Kay Black, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Murray Guard Dr, Jackson, TN 38305 Phone: 731-736-4400
Mrs. Robyn Elizabeth Mcdaniel, LPC/MHSP (TEMP), NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 Carriage House Dr Ste C, Jackson, TN 38305 Phone: 731-868-7297
Sonya Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Weatherford Sq, Jackson, TN 38305 Phone: 731-660-6760 Fax: 731-661-9152
Mrs. Linda Sue Hottenstein, M.ED,LPC/MHSP,RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 386 Carriage House Dr Ste A, Jackson, TN 38305 Phone: 731-664-0043 Fax: 731-664-0172
Dr. Samuel Lee Carney, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Executive Dr, Jackson, TN 38305 Phone: 731-426-1820 Fax: 731-426-0675
Justin Edward Crowder, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Lynoak Cv, Suite C, Jackson, TN 38305 Phone: 731-668-7593 Fax: 731-660-7512

Kenneth Dewayne Perry, - Medicare Counselor in Jackson, TN