Mrs Kimberli Ann Wicks, LPC in Dallas, OR - Medicare Counselor Provider

Mrs Kimberli Ann Wicks, LPC is a medicare enrolled "Counselor - Mental Health" provider in Dallas, Oregon. Her current practice location is 1277 Se Shelton St, Dallas, Oregon. You can reach out to her office (for appointments etc.) via phone at (582) 333-1364.

Mrs Kimberli Ann Wicks is licensed to practice in * (Not Available) (license number ) 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 1649487927.

Contact Information

	Mrs Kimberli Ann Wicks, LPC
	1277 Se Shelton St, Dallas, OR 97338-2537
	(582) 333-1364
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberli Ann Wicks
Gender	Female
Speciality	Counselor - Mental Health
Location	1277 Se Shelton St, Dallas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649487927
Provider Enumeration Date: 05/17/2007
Last Update Date: 03/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6204275019
Enrollment ID: I20240412002234

Medical Identifiers

Medical identifiers for Mrs Kimberli Ann Wicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649487927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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 Kimberli Ann Wicks allows following entities to bill medicare on her behalf.

Entity Name	Rogue Psych Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447727110 PECOS PAC ID: 1850632415 Enrollment ID: O20190408002460

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 Kimberli Ann Wicks 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 Kimberli Ann Wicks, LPC 1277 Se Shelton St, Dallas, OR 97338-2537 Ph: (582) 333-1364	Mrs Kimberli Ann Wicks, LPC 1277 Se Shelton St, Dallas, OR 97338-2537 Ph: (582) 333-1364

Reviews and Comments

Counselor in Dallas, OR

Kimberly Dawn Howard, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726
Jedonne Jorstad, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Ste 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-623-1874
Zachary Beeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289
Katrina Jeannine West, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289
Susan Marie Klein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289
Mrs. Margaret Ann Terry, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289
Tiffany Bouchard, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, County Of Polk, Suite 220, Dallas, OR 97338 Phone: 503-623-9317

Mrs Kimberli Ann Wicks, LPC - Medicare Counselor in Dallas, OR