Ms Peggy Suzanne Hines, MS ED, LPC is a medicare enrolled "Counselor - Mental Health" provider in Blanchardville, Wisconsin. Her current practice location is
711 Blake St, Blanchardville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 558-5291.
Ms Peggy Suzanne Hines is licensed to practice in Washington (license number LH61016892) 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 1669782637.
Healthcare Provider's Profile
| Full Name | Ms Peggy Suzanne Hines |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 711 Blake St, Blanchardville, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669782637
- Provider Enumeration Date: 10/08/2010
- Last Update Date: 02/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436595659
- Enrollment ID: I20240311002485
Medical Identifiers
Medical identifiers for Ms Peggy Suzanne Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669782637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LH61016892 (Washington) | Primary |
| 101YP2500X | Counselor - Professional | 4396125 (Wisconsin) | 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. Ms Peggy Suzanne Hines allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454 |
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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 Peggy Suzanne Hines 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 |
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Ms Peggy Suzanne Hines, MS ED, LPC
700 Lilly Rd Ne,
Olympia, WA 98506-5196
Ph: (360) 923-7000 | Ms Peggy Suzanne Hines, MS ED, LPC
711 Blake St,
Blanchardville, WI 53516-9756
Ph: (608) 558-5291 |
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