Mr John Mckeithen, MED, LPC, LADC in New Haven, CT

Mr John Mckeithen, MED, LPC, LADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in New Haven, Connecticut. His current practice location is 495 Congress Ave, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 781-4600.

Mr John Mckeithen is licensed to practice in Connecticut (license number 00631) 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 1770772576.

Contact Information

	Mr John Mckeithen, MED, LPC, LADC
	495 Congress Ave, New Haven, CT 06519-1312
	(203) 781-4600
	(203) 781-4624

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John Mckeithen
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	495 Congress Ave, New Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770772576
Provider Enumeration Date: 10/17/2007
Last Update Date: 01/24/2022

Medicare PECOS Information:

PECOS PAC ID: 3678926425
Enrollment ID: I20240128000104

Medical Identifiers

Medical identifiers for Mr John Mckeithen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770772576	NPI	-	NPPES
004082260	Medicaid	CT
0080494436	Medicaid	CT
008001325	Medicaid	CT
008022622	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	001918 (Connecticut)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	00631 (Connecticut)	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 John Mckeithen allows following entities to bill medicare on his behalf.

Entity Name	Apt Foundation, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801950951 PECOS PAC ID: 8729250204 Enrollment ID: O20111005000111

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 John Mckeithen 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 John Mckeithen, MED, LPC, LADC 1 Long Wharf Dr, Suite 321, New Haven, CT 06511-5991 Ph: (203) 781-4600	Mr John Mckeithen, MED, LPC, LADC 495 Congress Ave, New Haven, CT 06519-1312 Ph: (203) 781-4600

Reviews and Comments

Counselor in New Haven, CT

Rachel B Kopanski, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3250 Fax: 203-503-3254
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Mr. Mark C Vanacore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 871 State St, New Haven, CT 06511 Phone: 203-776-9900 Fax: 203-387-8522
Dr. Rita W. Mccleary, PSY.D. Counselor Medicare: Medicare Enrolled Practice Location: 258 Bradley St, New Haven, CT 06510 Phone: 203-777-4045
Mr. Pedro Delgado, BS. Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Lexington Ave, 2nd Floor, New Haven, CT 06513 Phone: 203-464-6913
Cluny Gombar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 Columbus Ave, New Haven, CT 06519 Phone: 203-503-3055 Fax: 203-503-3066
Mr. Mukhtar M Nalado, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 495 Congress Ave, New Haven, CT 06519 Phone: 203-781-4600 Fax: 203-781-4624

Mr John Mckeithen, MED, LPC, LADC - Medicare Counselor in New Haven, CT