Ms Dorotha Diane Bynum, LPC in Fort Smith, AR

Ms Dorotha Diane Bynum, LPC is a medicare enrolled "Counselor - Mental Health" provider in Fort Smith, Arkansas. Her current practice location is 4301 S 16th St, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 242-1003.

Ms Dorotha Diane Bynum is licensed to practice in Arkansas (license number P1111089) 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 1205846706.

Contact Information

	Ms Dorotha Diane Bynum, LPC
	4301 S 16th St, Fort Smith, AR 72901-8061
	(479) 242-1003
	(501) 510-5917

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Dorotha Diane Bynum
Gender	Female
Speciality	Counselor - Mental Health
Location	4301 S 16th St, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205846706
Provider Enumeration Date: 08/08/2006
Last Update Date: 01/06/2021

Medicare PECOS Information:

PECOS PAC ID: 2769885748
Enrollment ID: I20240104003232

Medical Identifiers

Medical identifiers for Ms Dorotha Diane Bynum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205846706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	P1111089 (Arkansas)	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. Ms Dorotha Diane Bynum allows following entities to bill medicare on her behalf.

Entity Name	Lumina Revenue Cycle Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154894954 PECOS PAC ID: 0941603922 Enrollment ID: O20210728002446

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. Ms Dorotha Diane Bynum 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
Ms Dorotha Diane Bynum, LPC Po Box 7768, Van Buren, AR 72956-0741 Ph: (479) 242-1003	Ms Dorotha Diane Bynum, LPC 4301 S 16th St, Fort Smith, AR 72901-8061 Ph: (479) 242-1003

Reviews and Comments

Counselor in Fort Smith, AR

Kylia Eastman, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3811 Rogers Ave, Fort Smith, AR 72903 Phone: 479-395-1599
Ms. Dinora Morales Reyes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847
Tochie K Benard, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847
Julie Rae Moore, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 S Waldron Rd, Fort Smith, AR 72903 Phone: 479-452-5040 Fax: 479-452-5047
Tabitha Fondren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3900 Armour Ave, Fort Smith, AR 72904 Phone: 479-783-8849 Fax: 479-783-1914
Miss Kylie Nicole Carroll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5401 Rogers Ave Ste 201, Fort Smith, AR 72903 Phone: 479-242-4560 Fax: 479-242-4561
Kasey Wilson, ADC, BA, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3113 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650

Ms Dorotha Diane Bynum, LPC - Medicare Counselor in Fort Smith, AR