Mrs Phetsavanh Coggin, LCPC in Woodstock, IL - Medicare Counselor Provider

Mrs Phetsavanh Coggin, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Woodstock, Illinois. Her current practice location is 3701 Doty Rd, Woodstock, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 338-6600.

Mrs Phetsavanh Coggin is licensed to practice in Illinois (license number 180010325) 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 1336537745.

Contact Information

	Mrs Phetsavanh Coggin, LCPC
	3701 Doty Rd, Woodstock, IL 60098
	(815) 338-6600
	(815) 206-5376

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Phetsavanh Coggin
Gender	Female
Speciality	Counselor - Mental Health
Location	3701 Doty Rd, Woodstock, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336537745
Provider Enumeration Date: 01/07/2015
Last Update Date: 10/13/2020

Medicare PECOS Information:

PECOS PAC ID: 1355725771
Enrollment ID: I20240614002557

Medical Identifiers

Medical identifiers for Mrs Phetsavanh Coggin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336537745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	180010325 (Illinois)	Primary
101YS0200X	Counselor - School	1001080 (Illinois)	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. Mrs Phetsavanh Coggin allows following entities to bill medicare on her behalf.

Entity Name	Pck Behavioral Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477286805 PECOS PAC ID: 0446634869 Enrollment ID: O20220903000350

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 Phetsavanh Coggin 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 Phetsavanh Coggin, LCPC 47 Katrina Ln, Sleepy Hollow, IL 60118-3123 Ph: () -	Mrs Phetsavanh Coggin, LCPC 3701 Doty Rd, Woodstock, IL 60098 Ph: (815) 338-6600

Reviews and Comments

Counselor in Woodstock, IL

Katharina Gounaris, BSW, CDVP Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Jefferson St, Woodstock, IL 60098 Phone: 815-344-1230
Amber Marcussen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Dean St, Woodstock, IL 60098 Phone: 847-802-4058 Fax: 815-344-5072
Diana French, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 W South St, Woodstock, IL 60098 Phone: 800-892-8900
Trisha Fendt, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 S Jefferson St, Woodstock, IL 60098 Phone: 815-344-1230
Natalie Freeman, LPC, CDWF Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 W Judd St, Woodstock, IL 60098 Phone: 815-345-3400
Sara Bardy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Dean St, Woodstock, IL 60098 Phone: 847-802-4058 Fax: 815-344-5072
Dr. Astrid Larsen, PHD, LCPC, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2317 Timberline Trl, Woodstock, IL 60098 Phone: 847-553-7764

Mrs Phetsavanh Coggin, LCPC - Medicare Counselor in Woodstock, IL