Larry Devon Gantt, LCPC in Miami, OK - Medicare Counselor Provider

Larry Devon Gantt, LCPC is a medicare enrolled "Counselor" provider in Miami, Oklahoma. His current practice location is 111 S Treaty Rd, Miami, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 540-1511.

Larry Devon Gantt 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 1437433067.

Contact Information

	Larry Devon Gantt, LCPC
	111 S Treaty Rd, Miami, OK 74354-5327
	(918) 540-1511
	(918) 542-7374

Map and Direction

Healthcare Provider's Profile

Full Name	Larry Devon Gantt
Gender	Male
Speciality	Counselor
Location	111 S Treaty Rd, Miami, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437433067
Provider Enumeration Date: 09/30/2011
Last Update Date: 10/12/2015

Medicare PECOS Information:

PECOS PAC ID: 5395196240
Enrollment ID: I20240104004483

Medical Identifiers

Medical identifiers for Larry Devon Gantt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437433067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (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. Larry Devon Gantt allows following entities to bill medicare on his behalf.

Entity Name	Grand Lake Mental Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174

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. Larry Devon Gantt 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
Larry Devon Gantt, LCPC 114 W Delware Ave, Nowata, OK 74048-2601 Ph: (918) 273-1841	Larry Devon Gantt, LCPC 111 S Treaty Rd, Miami, OK 74354-5327 Ph: (918) 540-1511

Reviews and Comments

Counselor in Miami, OK

Mrs. Katherine Renee Burke, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S. Treaty Rd., Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374
Phillip Horn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Treaty Rd, Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374
Racheal Fisher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W Steve Owens Blvd, Miami, OK 74354 Phone: 918-542-2845
Isabella Gail Burrell, LPC, NCGC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 E Steve Owens Boulevard, Miami, OK 74354 Phone: 918-576-3050
John Klenke, LPC-C Counselor Medicare: Medicare Enrolled Practice Location: 111 S Treaty Rd, Miami, OK 74354 Phone: 918-592-8614
Jennifer Shobe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Treaty Rd, Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374
Eric Goodpaster, TEACHING CERTIFICATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W Steve Owens Blvd, Miami, OK 74354 Phone: 918-542-2845

Larry Devon Gantt, LCPC - Medicare Counselor in Miami, OK