Mrs Rebecca Blake Mullin, LPC in Maryville, TN

Mrs Rebecca Blake Mullin, LPC is a medicare enrolled "Counselor - Professional" provider in Maryville, Tennessee. Her current practice location is 128 Olivia Ln, Maryville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (203) 297-8812.

Mrs Rebecca Blake Mullin is licensed to practice in Connecticut (license number 6721) 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 1326824772.

Contact Information

	Mrs Rebecca Blake Mullin, LPC
	128 Olivia Ln, Maryville, TN 37804-2961
	(203) 297-8812
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Rebecca Blake Mullin
Gender	Female
Speciality	Counselor - Professional
Location	128 Olivia Ln, Maryville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326824772
Provider Enumeration Date: 09/01/2023
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3476905399
Enrollment ID: I20240116004422

Medical Identifiers

Medical identifiers for Mrs Rebecca Blake Mullin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326824772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6721 (Connecticut)	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 Rebecca Blake Mullin allows following entities to bill medicare on her behalf.

Entity Name	Stokes Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134541469 PECOS PAC ID: 9638504202 Enrollment ID: O20200109001018

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 Rebecca Blake Mullin 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 Rebecca Blake Mullin, LPC 128 Olivia Ln, Maryville, TN 37804-2961 Ph: (203) 297-8812	Mrs Rebecca Blake Mullin, LPC 128 Olivia Ln, Maryville, TN 37804-2961 Ph: (203) 297-8812

Reviews and Comments

Counselor in Maryville, TN

Jonathan Mccollum, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 210 Simmons St, Maryville, TN 37801 Phone: 865-970-9800 Fax: 865-374-7129
Stephenie Ann Martin, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1704 E Broadway Ave, Maryville, TN 37804 Phone: 865-681-6990
Chermera Y Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Simmons St, Maryville, TN 37801 Phone: 865-374-7100
Roland T Dykes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Simmons St, Maryville, TN 37801 Phone: 865-374-7100
Bhoomika Nikam, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2024 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-270-3034
James Robert Daniel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Simmons St, Maryville, TN 37801 Phone: 865-970-9800
Kathleen Ann Puckett, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 Hampshire Dr, Maryville, TN 37801 Phone: 865-724-4923 Fax: 865-448-2220

Mrs Rebecca Blake Mullin, LPC - Medicare Counselor in Maryville, TN