Kipp Dana, LPC in Afton, WY - Medicare Counselor Provider

Kipp Dana, LPC is a medicare enrolled "Counselor - Professional" provider in Afton, Wyoming. His current practice location is 389 Adams, Afton, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 885-9883.

Kipp Dana is licensed to practice in Wyoming (license number LPC-550) 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 1386825446.

Contact Information

	Kipp Dana, LPC
	389 Adams, Afton, WY 83110-0376
	(307) 885-9883
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kipp Dana
Gender	Male
Speciality	Counselor - Professional
Location	389 Adams, Afton, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386825446
Provider Enumeration Date: 11/16/2007
Last Update Date: 12/14/2015

Medicare PECOS Information:

PECOS PAC ID: 6709213820
Enrollment ID: I20241025000674

Medical Identifiers

Medical identifiers for Kipp Dana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386825446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LAT-220 (Wyoming)	Secondary
101YM0800X	Counselor - Mental Health	LCPC3048 (Idaho)	Secondary
101YP2500X	Counselor - Professional	LPC-550 (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. Kipp Dana allows following entities to bill medicare on his behalf.

Entity Name	High Country Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457472748 PECOS PAC ID: 0648454587 Enrollment ID: O20110418000512

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. Kipp Dana 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
Kipp Dana, LPC 404 North Sprague Creek Rd., P.o Box 24, Fairview, WY 83119-0024 Ph: (307) 723-2252	Kipp Dana, LPC 389 Adams, Afton, WY 83110-0376 Ph: (307) 885-9883

Reviews and Comments

Counselor in Afton, WY

Melissa Diane Robbins-hutchison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 389 Adams St, Afton, WY 83110 Phone: 307-885-9883
Mr. Scott Imperatore, M.S., LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 389 Adams Street, Afton, WY 83110 Phone: 307-885-9883 Fax: 307-885-5206
Ms. Sandy Krambule, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 389 Adams Street, Afton, WY 83110 Phone: 307-885-9883 Fax: 307-885-5206
Mr. Andrew Parker, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3530 Highway 241, Afton, WY 83110 Phone: 307-887-9009
Dr. Steve Corsi, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 389 Adams Street, Afton, WY 83110 Phone: 307-885-9883 Fax: 307-885-5206
Tamara Rammell, Counselor Medicare: Medicare Enrolled Practice Location: 389 Adams St, Afton, WY 83110 Phone: 307-885-9883 Fax: 307-885-5206

Kipp Dana, LPC - Medicare Counselor in Afton, WY