Mr Bradley Kebodeaux, LPC in Booneville, MS - Medicare Counselor Provider

Mr Bradley Kebodeaux, LPC is a medicare enrolled "Counselor - Professional" provider in Booneville, Mississippi. His current practice location is 2100 E Chambers Dr, Booneville, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 728-3174.

Mr Bradley Kebodeaux is licensed to practice in Mississippi (license number 1633) 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 1447577002.

Contact Information

	Mr Bradley Kebodeaux, LPC
	2100 E Chambers Dr, Booneville, MS 38829-8938
	(662) 728-3174
	(662) 728-3175

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Bradley Kebodeaux
Gender	Male
Speciality	Counselor - Professional
Location	2100 E Chambers Dr, Booneville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447577002
Provider Enumeration Date: 04/22/2010
Last Update Date: 08/26/2016

Medicare PECOS Information:

PECOS PAC ID: 2668812462
Enrollment ID: I20240426001894

Medical Identifiers

Medical identifiers for Mr Bradley Kebodeaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447577002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	1633 (Mississippi)	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 Bradley Kebodeaux allows following entities to bill medicare on his behalf.

Entity Name	Region Iv Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699869537 PECOS PAC ID: 4688733991 Enrollment ID: O20081031000223

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 Bradley Kebodeaux 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 Bradley Kebodeaux, LPC 303 N Madison St, Corinth, MS 38834-5072 Ph: (662) 286-9883	Mr Bradley Kebodeaux, LPC 2100 E Chambers Dr, Booneville, MS 38829-8938 Ph: (662) 728-3174

Reviews and Comments

Counselor in Booneville, MS

Pam Castle, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 East Chambers Street, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-286-8095
Alyson Woodruff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488
Kathryn Gann Murff, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 E Chambers Dr, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-728-3175
Vanity Kay Langston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488
Jamiah Elizabeth Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488
Christy Brantley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 E Church St, Booneville, MS 38829 Phone: 662-728-2488
Ellen Yow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 E Chambers Dr, Booneville, MS 38829 Phone: 662-728-3174 Fax: 662-728-3175

Mr Bradley Kebodeaux, LPC - Medicare Counselor in Booneville, MS