Mrs Kelly L Demory Guevara, MED, LPC in Corpus Christi, TX

Mrs Kelly L Demory Guevara, MED, LPC is a medicare enrolled "Counselor - Professional" provider in Corpus Christi, Texas. Her current practice location is 5151 Flynn Pkwy Ste 100, Corpus Christi, Texas. You can reach out to her office (for appointments etc.) via phone at (956) 405-2106.

Mrs Kelly L Demory Guevara is licensed to practice in Texas (license number 77847) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962064402.

Contact Information

	Mrs Kelly L Demory Guevara, MED, LPC
	5151 Flynn Pkwy Ste 100, Corpus Christi, TX 78411-4318
	(956) 405-2106
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly L Demory Guevara
Gender	Female
Speciality	Counselor - Professional
Location	5151 Flynn Pkwy Ste 100, Corpus Christi, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962064402
Provider Enumeration Date: 07/05/2019
Last Update Date: 07/05/2019

Medicare PECOS Information:

PECOS PAC ID: 5193174720
Enrollment ID: I20231207004201

Medical Identifiers

Medical identifiers for Mrs Kelly L Demory Guevara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962064402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	77847 (Texas)	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. Mrs Kelly L Demory Guevara allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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. Mrs Kelly L Demory Guevara 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
Mrs Kelly L Demory Guevara, MED, LPC 5151 Flynn Pkwy Ste 100, Corpus Christi, TX 78411-4318 Ph: (956) 405-2106	Mrs Kelly L Demory Guevara, MED, LPC 5151 Flynn Pkwy Ste 100, Corpus Christi, TX 78411-4318 Ph: (956) 405-2106

Reviews and Comments

Counselor in Corpus Christi, TX

Ms. D. Charlene Hackett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7252 Mansions Dr, Corpus Christi, TX 78414 Phone: 360-304-0392
Robert Keith Martin, BA LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 S Alameda, Ste 150, Corpus Christi, TX 78404 Phone: 361-854-9199 Fax: 361-888-9250
Mrs. Edra B Saavedra, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Waco St, Corpus Christi, TX 78401 Phone: 361-886-1484
Brenda Kay Brown, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3434 S Alameda St, Corpus Christi, TX 78411 Phone: 361-855-2710 Fax: 361-855-4204
Mrs. Raquel Lobaina, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4610 Coody Ln, Corpus Christi, TX 78413 Phone: 305-799-9609
Mr. Robert Reed Berlin Jr., M.ED., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3833 S Staples St, S-213, Corpus Christi, TX 78411 Phone: 361-945-5840
Jaime Tuggle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 Texan Trl Ste 210, Corpus Christi, TX 78411 Phone: 361-654-0204 Fax: 361-654-0207

Mrs Kelly L Demory Guevara, MED, LPC - Medicare Counselor in Corpus Christi, TX