Melody Mckibbin, LMHC, LPC, LPCC, CPC is a medicare enrolled "Counselor - Mental Health" provider in Ector, Texas. Her current practice location is
708 N Main St Apt O, Ector, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 698-7455.
Melody Mckibbin is licensed to practice in Texas (license number 89657) 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 1790412955.
Healthcare Provider's Profile
| Full Name | Melody Mckibbin |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 708 N Main St Apt O, Ector, Texas |
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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: 1790412955
- Provider Enumeration Date: 08/06/2022
- Last Update Date: 07/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496107344
- Enrollment ID: I20240530004309
Medical Identifiers
Medical identifiers for Melody Mckibbin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790412955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LPC-9376 (Idaho) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH61500996 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | 39004978A (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 125140 (Iowa) | Secondary |
| 101YM0800X | Counselor - Mental Health | BBH-PCLC-LIC-57423 (Montana) | Secondary |
| 101YM0800X | Counselor - Mental Health | CP5666-R (Nevada) | Secondary |
| 101YM0800X | Counselor - Mental Health | CTB-2024-0317 (New Mexico) | Secondary |
| 101YM0800X | Counselor - Mental Health | 14055716-6004 (Utah) | Secondary |
| 101YM0800X | Counselor - Mental Health | 89657 (Texas) | 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. Melody Mckibbin 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: O20221129001217 |
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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. Melody Mckibbin 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 |
|---|
Melody Mckibbin, LMHC, LPC, LPCC, CPC
Po Box 1,
Ector, TX 75439-0001
Ph: (903) 698-7455 | Melody Mckibbin, LMHC, LPC, LPCC, CPC
708 N Main St Apt O,
Ector, TX 75439-2040
Ph: (903) 698-7455 |
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