Mr Zakery R Warren, LCPC4472 in Ammon, ID - Medicare Counselor Provider

Mr Zakery R Warren, LCPC4472 is a medicare enrolled "Counselor - Mental Health" provider in Ammon, Idaho. His current practice location is 2705 E 17th St Ste A, Ammon, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 346-7500.

Mr Zakery R Warren is licensed to practice in Idaho (license number 4472) 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 1053597344.

Contact Information

	Mr Zakery R Warren, LCPC4472
	2705 E 17th St Ste A, Ammon, ID 83406-6601
	(208) 346-7500
	(208) 346-7501

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Zakery R Warren
Gender	Male
Speciality	Counselor - Mental Health
Location	2705 E 17th St Ste A, Ammon, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053597344
Provider Enumeration Date: 01/16/2008
Last Update Date: 02/15/2019

Medicare PECOS Information:

PECOS PAC ID: 2466725536
Enrollment ID: I20240209000829

Medical Identifiers

Medical identifiers for Mr Zakery R Warren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053597344	NPI	-	NPPES
002648300	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4472 (Idaho)	Primary
1041C0700X	Social Worker - Clinical	LPC3960 (Idaho)	Secondary

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 Zakery R Warren allows following entities to bill medicare on his behalf.

Entity Name	Pearl Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447426465 PECOS PAC ID: 0840356077 Enrollment ID: O20090312000617

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 Zakery R Warren 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 Zakery R Warren, LCPC4472 2705 E 17th St, Ammon, ID 83406-6601 Ph: (208) 346-7500	Mr Zakery R Warren, LCPC4472 2705 E 17th St Ste A, Ammon, ID 83406-6601 Ph: (208) 346-7500

Reviews and Comments

Counselor in Ammon, ID

Elizabeth Whitehead, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1323 Ammon Park Dr, Ammon, ID 83406 Phone: 208-932-8350 Fax: 208-938-2330
Elizabeth Harding, Counselor Medicare: Medicare Enrolled Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 Fax: 208-523-5627
Siu Ling Chi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500
Angela Lynn Seal, BS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 N Curlew Dr Apt 3105, Ammon, ID 83401 Phone: 208-569-6670
Alyson Marie Webster, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1329 Ammon Park Dr, Ammon, ID 83406 Phone: 208-516-1003 Fax: 208-516-1014
Colin Waters, Counselor Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500

Mr Zakery R Warren, LCPC4472 - Medicare Counselor in Ammon, ID