Rickey Etheridge, LPC in Bryant, AR - Medicare Counselor Provider

Rickey Etheridge, LPC is a medicare enrolled "Counselor - Professional" provider in Bryant, Arkansas. His current practice location is 3348 Main St Ste 100, Bryant, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 443-3824.

Rickey Etheridge is licensed to practice in Arkansas (license number P0907039) 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 1861594483.

Contact Information

	Rickey Etheridge, LPC
	3348 Main St Ste 100, Bryant, AR 72022-5013
	(501) 443-3824
	(501) 521-1001

Map and Direction

Healthcare Provider's Profile

Full Name	Rickey Etheridge
Gender	Male
Speciality	Counselor - Professional
Location	3348 Main St Ste 100, Bryant, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861594483
Provider Enumeration Date: 09/03/2006
Last Update Date: 11/20/2024

Medicare PECOS Information:

PECOS PAC ID: 3971945130
Enrollment ID: I20240521000403

Medical Identifiers

Medical identifiers for Rickey Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861594483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P0907039 (Arkansas)	Primary
101YM0800X	Counselor - Mental Health	P0907039 (Arkansas)	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. Rickey Etheridge allows following entities to bill medicare on his behalf.

Entity Name	Reding & Leach Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245723584 PECOS PAC ID: 7012258627 Enrollment ID: O20190409001382

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. Rickey Etheridge 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
Rickey Etheridge, LPC 3348 Main St Ste 100, Bryant, AR 72022-5013 Ph: (501) 443-3824	Rickey Etheridge, LPC 3348 Main St Ste 100, Bryant, AR 72022-5013 Ph: (501) 443-3824

Reviews and Comments

Counselor in Bryant, AR

Wendy Logsdon, Counselor Medicare: Accepting Medicare Assignments Practice Location: 3348 Main St Ste 100, Bryant, AR 72022 Phone: 844-514-5183 Fax: 501-507-0889
Jason M Andrews, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3395 Highway 5 N Ste 300, Bryant, AR 72019 Phone: 501-508-2600 Fax: 501-708-2185
Patricia Ann Gann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd Ste 1, Bryant, AR 72022 Phone: 501-847-0081 Fax: 501-847-6905
Molly Ann Vanwie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd Ste 1, Bryant, AR 72022 Phone: 501-847-0081 Fax: 501-847-6905
Bradley Shaw, Counselor Medicare: Medicare Enrolled Practice Location: 3708 Robinwood Cir, Bryant, AR 72022 Phone: 501-993-5465
Mr. Dustin J. Morrow, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd, Bryant, AR 72022 Phone: 501-303-6108 Fax: 501-399-4043
Chance Mehalic, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Reynolds Rd Ste 1, Bryant, AR 72022 Phone: 501-847-0081 Fax: 501-847-6905

Rickey Etheridge, LPC - Medicare Counselor in Bryant, AR