Molly Port, LPC in Lake Havasu City, AZ - Medicare Counselor Provider

Molly Port, LPC is a medicare enrolled "Counselor - Professional" provider in Lake Havasu City, Arizona. Her current practice location is 1930 Mesquite Ave, Suite # 1a, Lake Havasu City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 855-4900.

Molly Port is licensed to practice in Arizona (license number LPC-16468) 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 1124431101.

Contact Information

	Molly Port, LPC
	1930 Mesquite Ave, Suite # 1a, Lake Havasu City, AZ 86403
	(928) 855-4900
	(928) 855-4902

Map and Direction

Healthcare Provider's Profile

Full Name	Molly Port
Gender	Female
Speciality	Counselor - Professional
Location	1930 Mesquite Ave, Lake Havasu City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124431101
Provider Enumeration Date: 06/06/2014
Last Update Date: 08/30/2019

Medicare PECOS Information:

PECOS PAC ID: 0244679173
Enrollment ID: I20240411003233

Medical Identifiers

Medical identifiers for Molly Port such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124431101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-16468 (Arizona)	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. Molly Port allows following entities to bill medicare on her behalf.

Entity Name	Azpen Counseling & Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134668841 PECOS PAC ID: 9335588268 Enrollment ID: O20240411003174

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. Molly Port 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
Molly Port, LPC 1930 Mesquite Ave, Suite # 1a, Lake Havasu City, AZ 86403 Ph: (928) 855-4900	Molly Port, LPC 1930 Mesquite Ave, Suite # 1a, Lake Havasu City, AZ 86403 Ph: (928) 855-4900

Reviews and Comments

Counselor in Lake Havasu City, AZ

Maria Rawson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3250 Saratoga Ave, Lake Havasu City, AZ 86406 Phone: 602-767-3441
Miss Susan Lynn Martin, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2277 Swanson Ave., Suite B, Lake Havasu City, AZ 86403 Phone: 928-854-0110 Fax: 928-854-0112
Alyssa F Horton, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2550 Kiowa Blvd N Ste 200, Lake Havasu City, AZ 86403 Phone: 928-733-5133
Miss Kandis A Silvestri, MSED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2277 Swanson Ave, Ste B, Lake Havasu City, AZ 86403 Phone: 928-854-0110 Fax: 928-854-0112
Gwen L Hodrick, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 Acoma Blvd N, Lake Havasu City, AZ 86403 Phone: 214-702-6775 Fax: 214-614-4725
Rakel Connell, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Lake Havasu Ave S Apt B28, Lake Havasu City, AZ 86403 Phone: 928-566-4637

Molly Port, LPC - Medicare Counselor in Lake Havasu City, AZ