Randi Davis, LPCIT in Wautoma, WI - Medicare Counselor Provider

Randi Davis, LPCIT is a medicare enrolled "Counselor - Mental Health" provider in Wautoma, Wisconsin. Her current practice location is 719 W Main St, Wautoma, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 787-7472.

Randi Davis is licensed to practice in Wisconsin (license number 2935-226) 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 1659728038.

Contact Information

	Randi Davis, LPCIT
	719 W Main St, Wautoma, WI 54982-8503
	(920) 787-7472
	(920) 787-5458

Map and Direction

Healthcare Provider's Profile

Full Name	Randi Davis
Gender	Female
Speciality	Counselor - Mental Health
Location	719 W Main St, Wautoma, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659728038
Provider Enumeration Date: 05/16/2016
Last Update Date: 05/16/2016

Medicare PECOS Information:

PECOS PAC ID: 5799135414
Enrollment ID: I20231221000988

Medical Identifiers

Medical identifiers for Randi Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659728038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2935-226 (Wisconsin)	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. Randi Davis allows following entities to bill medicare on her behalf.

Entity Name	Ascension Ne Wisconsin, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037

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. Randi Davis 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
Randi Davis, LPCIT 719 W Main St, Wautoma, WI 54982-8503 Ph: (920) 787-7472	Randi Davis, LPCIT 719 W Main St, Wautoma, WI 54982-8503 Ph: (920) 787-7472

Reviews and Comments

Counselor in Wautoma, WI

Debra Jodarski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N4107 13th Ln, Wautoma, WI 54982 Phone: 920-787-2725
Patrick Isenberger, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550
Andrea Lee Behnke, APSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Michele L Rasmussen, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-5514 Fax: 920-787-4737
Bethany Walker, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Mr. Paul Francis Theyel, CICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Park St, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421
Jena Vonfeldt, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: N3095 Lake Dr, Wautoma, WI 54982 Phone: 406-212-3293

Randi Davis, LPCIT - Medicare Counselor in Wautoma, WI