Mr Kristian Dean Hailey, LPC in Cookeville, TN

Mr Kristian Dean Hailey, LPC is a medicare enrolled "Counselor - Mental Health" provider in Cookeville, Tennessee. His current practice location is 1059 Neal St, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 528-8593.

Mr Kristian Dean Hailey is licensed to practice in Tennessee (license number 6594) 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 1629755053.

Contact Information

	Mr Kristian Dean Hailey, LPC
	1059 Neal St, Cookeville, TN 38501-0946
	(931) 528-8593
	(931) 528-8214

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kristian Dean Hailey
Gender	Male
Speciality	Counselor - Mental Health
Location	1059 Neal St, Cookeville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629755053
Provider Enumeration Date: 06/28/2023
Last Update Date: 02/16/2024

Medicare PECOS Information:

PECOS PAC ID: 7517319627
Enrollment ID: I20240113000383

Medical Identifiers

Medical identifiers for Mr Kristian Dean Hailey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629755053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6594 (Tennessee)	Secondary
101YM0800X	Counselor - Mental Health	6594 (Tennessee)	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 Kristian Dean Hailey allows following entities to bill medicare on his behalf.

Entity Name	Generations Health Association, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245212380 PECOS PAC ID: 3779491907 Enrollment ID: O20041208000500

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 Kristian Dean Hailey 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 Kristian Dean Hailey, LPC 1059 Neal St, Cookeville, TN 38501-0946 Ph: (931) 528-8593	Mr Kristian Dean Hailey, LPC 1059 Neal St, Cookeville, TN 38501-0946 Ph: (931) 528-8593

Reviews and Comments

Counselor in Cookeville, TN

Anne Loubier, M.A Counselor Medicare: Medicare Enrolled Practice Location: 13 S Jefferson Ave, Cookeville, TN 38501 Phone: 615-424-2676
Angela Kaye Moralee, LPC-MHSP, TEMP, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 E Spring St, Cookeville, TN 38501 Phone: 910-797-0634
Brittany Reyann Farrar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1420 Neal St, Suite 202, Cookeville, TN 38501 Phone: 931-525-6923 Fax: 931-525-6970
Miss Dessie S. Avila, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 448 Neal St, Cookeville, TN 38501 Phone: 931-525-6900 Fax: 931-525-6970
Lisa Lynne Hillis, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 E Spring St, Cookeville, TN 38501 Phone: 931-303-0665 Fax: 931-303-0667
Leslie Bohn, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 E Spring St, Cookeville, TN 38501 Phone: 931-303-0665
Angela R Rector, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1330 Neal St Ste D, Cookeville, TN 38501 Phone: 931-650-3354 Fax: 931-528-6826

Mr Kristian Dean Hailey, LPC - Medicare Counselor in Cookeville, TN