Mrs Mary Lee Churchill, LPC0016945 in Colorado Springs, CO

Mrs Mary Lee Churchill, LPC0016945 is a medicare enrolled "Counselor - Professional" provider in Colorado Springs, Colorado. Her current practice location is 2860 S Circle Dr Ste 103, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 297-7646.

Mrs Mary Lee Churchill is licensed to practice in Colorado (license number LPC.0016945) 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 1720724909.

Contact Information

	Mrs Mary Lee Churchill, LPC0016945
	2860 S Circle Dr Ste 103, Colorado Springs, CO 80906-4113
	(719) 297-7646
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Lee Churchill
Gender	Female
Speciality	Counselor - Professional
Location	2860 S Circle Dr Ste 103, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720724909
Provider Enumeration Date: 05/10/2022
Last Update Date: 07/17/2024

Medicare PECOS Information:

PECOS PAC ID: 9335592591
Enrollment ID: I20240124003364

Medical Identifiers

Medical identifiers for Mrs Mary Lee Churchill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720724909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC.0016945 (Colorado)	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 Mary Lee Churchill allows following entities to bill medicare on her behalf.

Entity Name	Family Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960

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 Mary Lee Churchill 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 Mary Lee Churchill, LPC0016945 2860 S Circle Dr Ste 103b, Colorado Springs, CO 80906-4113 Ph: (719) 540-2100	Mrs Mary Lee Churchill, LPC0016945 2860 S Circle Dr Ste 103, Colorado Springs, CO 80906-4113 Ph: (719) 297-7646

Reviews and Comments

Counselor in Colorado Springs, CO

Elizabeth Anne Beck, LPC CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd, Suite 206, Colorado Springs, CO 80917 Phone: 719-596-1530 Fax: 719-559-1130
Andrea Wood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Gold Pass Hts, Colorado Springs, CO 80906 Phone: 719-205-2671 Fax: 719-632-2342
Norma Dejesus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 179 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6300
Sheila Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340
Robert B. Wenzel, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4360 Montebello Dr Ste 400, Colorado Springs, CO 80918 Phone: 719-593-9228 Fax: 719-598-1705
Dawn Zink, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4975 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-301-5488
Melissa Beth Smart, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1330 Inverness Dr Ste 400, Colorado Springs, CO 80910 Phone: 970-310-3406

Mrs Mary Lee Churchill, LPC0016945 - Medicare Counselor in Colorado Springs, CO