Mr Kerry J Beck, LISW-SUPV in Archbold, OH - Medicare Counselor Provider

Mr Kerry J Beck, LISW-SUPV is a medicare enrolled "Counselor - Mental Health" provider in Archbold, Ohio. His current practice location is 22251 State Route 2, Archbold, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 445-1552.

Mr Kerry J Beck is licensed to practice in Ohio (license number I.0700134-SUPV) 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 1922271212.

Contact Information

	Mr Kerry J Beck, LISW-SUPV
	22251 State Route 2, Archbold, OH 43502-9452
	(419) 445-1552
	(419) 455-1401

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kerry J Beck
Gender	Male
Speciality	Counselor - Mental Health
Location	22251 State Route 2, Archbold, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922271212
Provider Enumeration Date: 04/08/2008
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7517336647
Enrollment ID: I20221213001495

Medical Identifiers

Medical identifiers for Mr Kerry J Beck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922271212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	I.0700134-SUPV (Ohio)	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 Kerry J Beck allows following entities to bill medicare on his behalf.

Entity Name	Shalom Ministries
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366573552 PECOS PAC ID: 7911376033 Enrollment ID: O20221213001281

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 Kerry J Beck 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 Kerry J Beck, LISW-SUPV 703 Walnut St, Archbold, OH 43502-1019 Ph: (603) 359-8689	Mr Kerry J Beck, LISW-SUPV 22251 State Route 2, Archbold, OH 43502-9452 Ph: (419) 445-1552

Reviews and Comments

Counselor in Archbold, OH

Mrs. Beth A. Reichert, L.P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: T793 State Route 66, Archbold, OH 43502 Phone: 419-267-5528 Fax: 419-267-5530
Lorenzo Mendez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401
Mrs. Paula Lynn Rettig, LPC LCDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 22897 Us-20 Alt, Archbold, OH 43502 Phone: 419-445-1980
Mrs. Donna Marie Wyse, LSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401
Marisa Wagner, IMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401
Taylor Comer, LISW Counselor Medicare: Medicare Enrolled Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401
Brittany Lyn Mcclarren, BA, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22251 State Route 2, Archbold, OH 43502 Phone: 419-445-1552 Fax: 419-445-1401

Mr Kerry J Beck, LISW-SUPV - Medicare Counselor in Archbold, OH