Ms Kelley Gaye Wilbanks, LPC in West Plains, MO

Ms Kelley Gaye Wilbanks, LPC is a medicare enrolled "Counselor" provider in West Plains, Missouri. Her current practice location is 3411 Division Dr, West Plains, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 257-9152.

Ms Kelley Gaye Wilbanks is licensed to practice in Missouri (license number 494720303) 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 1578666723.

Contact Information

	Ms Kelley Gaye Wilbanks, LPC
	3411 Division Dr, West Plains, MO 65775-5789
	(417) 257-9152
	(417) 257-9162

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kelley Gaye Wilbanks
Gender	Female
Speciality	Counselor
Location	3411 Division Dr, West Plains, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578666723
Provider Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0042668170
Enrollment ID: I20231129002207

Medical Identifiers

Medical identifiers for Ms Kelley Gaye Wilbanks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578666723	NPI	-	NPPES
494720303	Medicaid	MO
151551	Other	MO	BLUE CROSS BLUE SHIELD
431116734	Other	MO	NEW DIRECTIONS
431116734	Other	MO	EAP INTERFACE
11545393	Other	MO	CAQH
713333	Other	MO	HEALTHLINK PPO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	494720303 (Missouri)	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 Kelley Gaye Wilbanks allows following entities to bill medicare on her behalf.

Entity Name	Family Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127

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 Kelley Gaye Wilbanks 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 Kelley Gaye Wilbanks, LPC 3411 Division Dr, West Plains, MO 65775-5789 Ph: (417) 257-9152	Ms Kelley Gaye Wilbanks, LPC 3411 Division Dr, West Plains, MO 65775-5789 Ph: (417) 257-9152

Reviews and Comments

Counselor in West Plains, MO

Jenna Hampton, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-257-6762
Mrs. Jeannie Rhoads-ashley, CCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 Fax: 417-256-6497
Cretia Lynne Ussery, QMHP RADC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-257-9152
Rebecca Kay Beville, MA, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-257-6762
Kendell Pellham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570
Tabatha Diane Wade, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8703
Mrs. Wendra L Dunkin, CSAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 Fax: 417-256-6497

Ms Kelley Gaye Wilbanks, LPC - Medicare Counselor in West Plains, MO