Kyle James Phillip, in Lagrange, IN - Medicare Counselor Provider

Kyle James Phillip, is a medicare enrolled "Counselor - Mental Health" provider in Lagrange, Indiana. His current practice location is 836 N Detroit St, Lagrange, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 499-3019.

Kyle James Phillip 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 1730846486.

Contact Information

	Kyle James Phillip,
	836 N Detroit St, Lagrange, IN 46761-1112
	(260) 499-3019
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle James Phillip
Gender	Male
Speciality	Counselor - Mental Health
Location	836 N Detroit St, Lagrange, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730846486
Provider Enumeration Date: 11/17/2021
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 7113369042
Enrollment ID: I20240523002655

Medical Identifiers

Medical identifiers for Kyle James Phillip such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730846486	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. Kyle James Phillip allows following entities to bill medicare on his behalf.

Entity Name	The Otis R Bowen Center For Human Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853

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. Kyle James Phillip 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
Kyle James Phillip, 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: (574) 267-7169	Kyle James Phillip, 836 N Detroit St, Lagrange, IN 46761-1112 Ph: (260) 499-3019

Reviews and Comments

Counselor in Lagrange, IN

Amanda Venters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 N Detroit St, Lagrange, IN 46761 Phone: 800-342-5653
Dee L Strycker, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 N Detroit St, Lagrange, IN 46761 Phone: 260-499-3019 Fax: 260-499-3022
Mary Susan Thuillard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2155 N State Road 9, Lagrange, IN 46761 Phone: 260-463-7144 Fax: 260-463-7146
Misty D. Arellano, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 N Detroit St, Lagrange, IN 46761 Phone: 260-499-3019
Nicole Johnson-smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2155 N State Road 9, Lagrange, IN 46761 Phone: 260-463-7144
Timothy Lagro, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 N Detroit St, Lagrange, IN 46761 Phone: 260-499-3019 Fax: 260-499-3022
Linda Roberts Chevez, CPSS BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 N Detroit St, Lagrange, IN 46761 Phone: 260-499-3019

Kyle James Phillip, - Medicare Counselor in Lagrange, IN