Madison Knowles, MS, LMHC, LPC, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Shelley, Idaho. Her current practice location is
1170 E 800 N, Shelley, Idaho. You can reach out to her office (for appointments etc.) via phone at
(772) 284-1873.
Madison Knowles is licensed to practice in Idaho (license number LCPC-9941) 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 1346519931.
Healthcare Provider's Profile
| Full Name | Madison Knowles |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 1170 E 800 N, Shelley, Idaho |
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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: 1346519931
- Provider Enumeration Date: 12/28/2011
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264877489
- Enrollment ID: I20240228000347
Medical Identifiers
Medical identifiers for Madison Knowles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346519931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 0019934 (Colorado) | Secondary |
| 101YM0800X | Counselor - Mental Health | 10663-125 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH22655 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | LCPC-9941 (Idaho) | 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. Madison Knowles allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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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. Madison Knowles 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 |
|---|
Madison Knowles, MS, LMHC, LPC, LCPC
1170 E 800 N,
Shelley, ID 83274-5356
Ph: (732) 606-6984 | Madison Knowles, MS, LMHC, LPC, LCPC
1170 E 800 N,
Shelley, ID 83274-5356
Ph: (772) 284-1873 |
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