Kylie J Liddle, MS, LMHC in Fort Myers, FL - Medicare Counselor Provider

Kylie J Liddle, MS, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fort Myers, Florida. Her current practice location is 12553 New Brittany Blvd # 32, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 490-8513.

Kylie J Liddle is licensed to practice in Indiana (license number 39004731A) 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 1962775213.

Contact Information

	Kylie J Liddle, MS, LMHC
	12553 New Brittany Blvd # 32, Fort Myers, FL 33907-3625
	(727) 490-8513
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kylie J Liddle
Gender	Female
Speciality	Counselor - Mental Health
Location	12553 New Brittany Blvd # 32, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962775213
Provider Enumeration Date: 02/17/2012
Last Update Date: 08/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6103274550
Enrollment ID: I20231127001534

Medical Identifiers

Medical identifiers for Kylie J Liddle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962775213	NPI	-	NPPES
1962775213	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	MH16282 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	39004731A (Indiana)	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. Kylie J Liddle allows following entities to bill medicare on her behalf.

Entity Name	Lifespring Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851489942 PECOS PAC ID: 5294624508 Enrollment ID: O20040805000332

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. Kylie J Liddle 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
Kylie J Liddle, MS, LMHC 1451 E Wehner Dr, Madison, IN 47250-8601 Ph: (239) 896-3194	Kylie J Liddle, MS, LMHC 12553 New Brittany Blvd # 32, Fort Myers, FL 33907-3625 Ph: (727) 490-8513

Reviews and Comments

Counselor in Fort Myers, FL

Bethaney Lynne Hoffacker, MA, LMHC-QS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8280 College Pkwy Ste 103, Fort Myers, FL 33919 Phone: 941-258-6944
Zachira Josefina Gonzalez, RCSWI Counselor Medicare: Not Enrolled in Medicare Practice Location: 6631 Orion Dr, Fort Myers, FL 33912 Phone: 239-246-0381
Ms. Daneen Barker Clarke, M.S. ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 Allen St, Fort Myers, FL 33916 Phone: 239-243-8794
Mr. Frank David Kohn, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12734 Kenwood Ln, Suite 17, Fort Myers, FL 33907 Phone: 239-939-3911 Fax: 239-939-3911
Ms. Tina Friedman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8695 College Pkwy, 2258, Fort Myers, FL 33919 Phone: 239-489-4705 Fax: 239-489-2732
Mary Hemrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1940 Maravilla Ave, Fort Myers, FL 33901 Phone: 239-334-0222
Ms. Elizabeth Ann Hilgreen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12424 Brantley Commons Ct, Fort Myers, FL 33907 Phone: 239-994-9315

Kylie J Liddle, MS, LMHC - Medicare Counselor in Fort Myers, FL