Ms Priscilla Maxwell, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Riverton, Illinois. Her current practice location is
101 Stanton St, Riverton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 432-0220.
Ms Priscilla Maxwell is licensed to practice in Illinois (license number 178.016536) 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 1215623764.
Healthcare Provider's Profile
Full Name | Ms Priscilla Maxwell |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 101 Stanton St, Riverton, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215623764
- Provider Enumeration Date: 04/17/2023
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719339472
- Enrollment ID: I20240202003089
Medical Identifiers
Medical identifiers for Ms Priscilla Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215623764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 178.016536 (Illinois) | 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 Priscilla Maxwell allows following entities to bill medicare on her behalf.
Entity Name | Macon Resources Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457044919 PECOS PAC ID: 2264430321 Enrollment ID: O20240118000073 |
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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 Priscilla Maxwell 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 Priscilla Maxwell, MS, LPC 101 Stanton St, Riverton, IL 62561-9307 Ph: (630) 432-0220 | Ms Priscilla Maxwell, MS, LPC 101 Stanton St, Riverton, IL 62561-9307 Ph: (630) 432-0220 |
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