Mr Andre Riddick Sr, LPCC in Lexington, KY - Medicare Counselor Provider

Mr Andre Riddick Sr, LPCC is a medicare enrolled "Counselor" provider in Lexington, Kentucky. His current practice location is 1301 Winchester Rd Ste 147, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 991-0710.

Mr Andre Riddick Sr is licensed to practice in Kentucky (license number 288964) 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 1003372905.

Contact Information

	Mr Andre Riddick Sr, LPCC
	1301 Winchester Rd Ste 147, Lexington, KY 40505-4179
	(859) 991-0710
	(859) 309-1791

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Andre Riddick Sr
Gender	Male
Speciality	Counselor
Location	1301 Winchester Rd Ste 147, Lexington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003372905
Provider Enumeration Date: 02/15/2019
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5799126918
Enrollment ID: I20240517002960

Medical Identifiers

Medical identifiers for Mr Andre Riddick Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003372905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	288964 (Kentucky)	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. Mr Andre Riddick Sr allows following entities to bill medicare on his behalf.

Entity Name	Ljks
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194207910 PECOS PAC ID: 2769895374 Enrollment ID: O20201228001708

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. Mr Andre Riddick Sr 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
Mr Andre Riddick Sr, LPCC 1301 Winchester Rd Ste 147, Lexington, KY 40505-4179 Ph: (859) 991-0710	Mr Andre Riddick Sr, LPCC 1301 Winchester Rd Ste 147, Lexington, KY 40505-4179 Ph: (859) 991-0710

Reviews and Comments

Counselor in Lexington, KY

Sarah E Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686
Michael S Stratton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686
Martin Bennett Hundley, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Southland Dr # 204, Lexington, KY 40503 Phone: 859-278-3456
Tiffany Morgan Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike Bldg 1, Lexington, KY 40511 Phone: 589-253-1686
Teonna Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686
Ms. Terri J Powell, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 845 Lane Allen Rd, Suite B-5, Lexington, KY 40504 Phone: 859-373-0572 Fax: 859-373-0572

Mr Andre Riddick Sr, LPCC - Medicare Counselor in Lexington, KY