Lois Kay Potthoff, MA is a medicare enrolled "Counselor - Mental Health" provider in Audubon, Iowa. Her current practice location is
515 Pacific Ave, Audubon, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 563-5285.
Lois Kay Potthoff is licensed to practice in Iowa (license number 074609) 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 1811334519.
Healthcare Provider's Profile
| Full Name | Lois Kay Potthoff |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 515 Pacific Ave, Audubon, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811334519
- Provider Enumeration Date: 06/04/2013
- Last Update Date: 12/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476098880
- Enrollment ID: I20240710001981
Medical Identifiers
Medical identifiers for Lois Kay Potthoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811334519 | NPI | - | NPPES |
| 1225805799 | Other | IA | GROUP TYPE 2 NPI |
| 0504297 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 074609 (Iowa) | 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. Lois Kay Potthoff allows following entities to bill medicare on her behalf.
| Entity Name | Touching Lives Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225805799
PECOS PAC ID: 0840735247
Enrollment ID: O20240710001519 |
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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. Lois Kay Potthoff 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 |
|---|
Lois Kay Potthoff, MA
24144 215th St,
Carroll, IA 51401-8647
Ph: (712) 563-5285 | Lois Kay Potthoff, MA
515 Pacific Ave,
Audubon, IA 50025-1056
Ph: (712) 563-5285 |
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