Lacy J Dye, LIMHP in Gothenburg, NE - Medicare Counselor Provider

Lacy J Dye, LIMHP is a medicare enrolled "Counselor - Mental Health" provider in Gothenburg, Nebraska. Her current practice location is 910 20th St, Gothenburg, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 537-3661.

Lacy J Dye is licensed to practice in Nebraska (license number 4012) 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 1114599610.

Contact Information

	Lacy J Dye, LIMHP
	910 20th St, Gothenburg, NE 69138-1253
	(308) 537-3661
	(308) 537-3074

Map and Direction

Healthcare Provider's Profile

Full Name	Lacy J Dye
Gender	Female
Speciality	Counselor - Mental Health
Location	910 20th St, Gothenburg, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114599610
Provider Enumeration Date: 07/14/2021
Last Update Date: 03/20/2025

Medicare PECOS Information:

PECOS PAC ID: 5597289736
Enrollment ID: I20250409000207

Medical Identifiers

Medical identifiers for Lacy J Dye such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114599610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4012 (Nebraska)	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. Lacy J Dye allows following entities to bill medicare on her behalf.

Entity Name	Gothenburg Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922051531 PECOS PAC ID: 6709832983 Enrollment ID: O20050330001110

Entity Name	Gothenburg Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1922051531 PECOS PAC ID: 6709832983 Enrollment ID: O20070123000252

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. Lacy J Dye 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
Lacy J Dye, LIMHP Po Box 469, Gothenburg, NE 69138-0469 Ph: (308) 537-3661	Lacy J Dye, LIMHP 910 20th St, Gothenburg, NE 69138-1253 Ph: (308) 537-3661

Reviews and Comments

Counselor in Gothenburg, NE

Rebecca Lynne Horn, MS, LIMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1917 Avenue I, Gothenburg, NE 69138 Phone: 402-619-0590
Brett Mann, MSE, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Lake Ave, Gothenburg, NE 69138 Phone: 308-537-3691 Fax: 308-537-3062
Brenda Hiebner, LIMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Lake Ave, Gothenburg, NE 69138 Phone: 308-537-3691 Fax: 308-537-3062
Ms. Deanne (dee) K Weaver, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1303 Lake Ave, Gothenburg, NE 69138 Phone: 308-529-1040
Ms. Cynthia Ann Foresman, LMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Lake Ave, Gothenburg, NE 69138 Phone: 308-537-3691 Fax: 308-537-3062
Mrs. Jacqueline Anne Anderson, ED.S, LMHP, LPC, Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 10th St, Gothenburg, NE 69138 Phone: 308-529-0821

Lacy J Dye, LIMHP - Medicare Counselor in Gothenburg, NE