Mr Brock Adam Carlile, MCP in Ponca City, OK - Medicare Counselor Provider

Mr Brock Adam Carlile, MCP is a medicare enrolled "Counselor" provider in Ponca City, Oklahoma. His current practice location is 1920 Mary St, Ponca City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 382-1645.

Mr Brock Adam Carlile is licensed to practice in Oklahoma (license number 4396) 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 1649570128.

Contact Information

	Mr Brock Adam Carlile, MCP
	1920 Mary St, Ponca City, OK 74601-2027
	(580) 382-1645
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brock Adam Carlile
Gender	Male
Speciality	Counselor
Location	1920 Mary St, Ponca City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649570128
Provider Enumeration Date: 10/29/2010
Last Update Date: 10/29/2010

Medicare PECOS Information:

PECOS PAC ID: 5294184214
Enrollment ID: I20231215000203

Medical Identifiers

Medical identifiers for Mr Brock Adam Carlile such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649570128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	4396 (Oklahoma)	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 Brock Adam Carlile allows following entities to bill medicare on his behalf.

Entity Name	Lighthouse Behavioral Wellness Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518997097 PECOS PAC ID: 6406748961 Enrollment ID: O20040329000653

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 Brock Adam Carlile 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 Brock Adam Carlile, MCP 1920 Mary St, Ponca City, OK 74601-2027 Ph: (580) 382-1645	Mr Brock Adam Carlile, MCP 1920 Mary St, Ponca City, OK 74601-2027 Ph: (580) 382-1645

Reviews and Comments

Counselor in Ponca City, OK

Kirk Michael Hollis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 W Grand Ave, Ponca City, OK 74601 Phone: 580-767-8000
Laura Anne Peitz, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3415 Meadow Ln, Ponca City, OK 74604 Phone: 580-762-5948
Charles Nix, L.P.C. CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 N 5th St, Ponca City, OK 74601 Phone: 580-242-4673
Renia Lynn Batman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 N 6th St, Ponca City, OK 74601 Phone: 918-287-1175
Ms. Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Fairview Ave, Ponca City, OK 74601 Phone: 580-765-3900
Lauren Kirk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N 4th St, Ponca City, OK 74601 Phone: 580-749-5056
Ashley Merz, BS, MPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Grand Ave, Ponca City, OK 74601 Phone: 580-762-1462 Fax: 580-765-7299

Mr Brock Adam Carlile, MCP - Medicare Counselor in Ponca City, OK