Patrick Lynn Peck, in West Plains, MO - Medicare Counselor Provider

Patrick Lynn Peck, is a medicare enrolled "Counselor - Mental Health" provider in West Plains, Missouri. His current practice location is 1100 N Kentucky Ave, West Plains, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 256-9111.

Patrick Lynn Peck is licensed to practice in Missouri (license number 2019037629) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710517727.

Contact Information

	Patrick Lynn Peck,
	1100 N Kentucky Ave, West Plains, MO 65775-2029
	(417) 256-9111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Patrick Lynn Peck
Gender	Male
Speciality	Counselor - Mental Health
Location	1100 N Kentucky Ave, 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: 1710517727
Provider Enumeration Date: 01/17/2020
Last Update Date: 01/17/2020

Medicare PECOS Information:

PECOS PAC ID: 5395194286
Enrollment ID: I20231218003723

Medical Identifiers

Medical identifiers for Patrick Lynn Peck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710517727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2019037629 (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. Patrick Lynn Peck allows following entities to bill medicare on his behalf.

Entity Name	Ozarks Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035

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. Patrick Lynn Peck 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
Patrick Lynn Peck, Po Box 1100, West Plains, MO 65775-1100 Ph: (417) 256-9111	Patrick Lynn Peck, 1100 N Kentucky Ave, West Plains, MO 65775-2029 Ph: (417) 256-9111

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

Patrick Lynn Peck, - Medicare Counselor in West Plains, MO