Myranda Conley, T-LPC in Derby, KS - Medicare Counselor Provider

Myranda Conley, T-LPC is a medicare enrolled "Counselor - Mental Health" provider in Derby, Kansas. Her current practice location is 1525 N Buckner St, Derby, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 788-6464.

Myranda Conley is licensed to practice in Kansas (license number 03723) 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 1215536594.

Contact Information

	Myranda Conley, T-LPC
	1525 N Buckner St, Derby, KS 67037-2948
	(316) 788-6464
	(206) 299-1262

Map and Direction

Healthcare Provider's Profile

Full Name	Myranda Conley
Gender	Female
Speciality	Counselor - Mental Health
Location	1525 N Buckner St, Derby, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215536594
Provider Enumeration Date: 10/19/2020
Last Update Date: 10/19/2020

Medicare PECOS Information:

PECOS PAC ID: 7315399821
Enrollment ID: I20240120000253

Medical Identifiers

Medical identifiers for Myranda Conley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215536594	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	03723 (Kansas)	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. Myranda Conley allows following entities to bill medicare on her behalf.

Entity Name	Amy Meek Family Therapy Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780859165 PECOS PAC ID: 4385051689 Enrollment ID: O20210405000782

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. Myranda Conley 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
Myranda Conley, T-LPC 1525 N Buckner St, Derby, KS 67037-2948 Ph: (316) 788-6464	Myranda Conley, T-LPC 1525 N Buckner St, Derby, KS 67037-2948 Ph: (316) 788-6464

Reviews and Comments

Counselor in Derby, KS

Amanda Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3406 Laughlin St, Derby, KS 67037 Phone: 316-789-4116
Madelyn Rose Bean, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 W Greenway St, Derby, KS 67037 Phone: 316-651-6486
Lori Renee Young, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1144 N. Buckner, Derby, KS 67037 Phone: 316-644-7579
Meredith J Wachter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 E Osage Rd # 200, Derby, KS 67037 Phone: 316-425-7774
Mai Kannenberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1525 N Buckner St, Derby, KS 67037 Phone: 316-788-6464 Fax: 206-299-1262
Penny Tofflemeyer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13720 E 63rd St S, Derby, KS 67037 Phone: 910-975-6648

Myranda Conley, T-LPC - Medicare Counselor in Derby, KS