Samwel Kebaya, in Longview, TX - Medicare Counselor Provider

Samwel Kebaya, is a medicare enrolled "Counselor - Mental Health" provider in Longview, Texas. His current practice location is 1107 E Marshall Ave, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 758-2610.

Samwel Kebaya is licensed to practice in Texas (license number 83877) 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 1780935155.

Contact Information

	Samwel Kebaya,
	1107 E Marshall Ave, Longview, TX 75601-5602
	(903) 758-2610
	(903) 758-3124

Map and Direction

Healthcare Provider's Profile

Full Name	Samwel Kebaya
Gender	Male
Speciality	Counselor - Mental Health
Location	1107 E Marshall Ave, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780935155
Provider Enumeration Date: 09/26/2012
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 4486091840
Enrollment ID: I20240320002935

Medical Identifiers

Medical identifiers for Samwel Kebaya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780935155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	83877 (Texas)	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. Samwel Kebaya allows following entities to bill medicare on his behalf.

Entity Name	Dallas County Mental Health & Mental Retardation Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023239886 PECOS PAC ID: 2062308091 Enrollment ID: O20040225001046

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. Samwel Kebaya 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
Samwel Kebaya, 1107 E Marshall Ave, Longview, TX 75601-5602 Ph: (903) 758-2610	Samwel Kebaya, 1107 E Marshall Ave, Longview, TX 75601-5602 Ph: (903) 758-2610

Reviews and Comments

Counselor in Longview, TX

Aaron Clark Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Wain Dr, Longview, TX 75604 Phone: 903-806-1824
Sally K. Moseley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3400 W. Marshall Ave., Suite 430, Longview, TX 75604 Phone: 903-297-4592 Fax: 903-297-4689
Mrs. Amanda Jameson, LPC, CSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Gilmer Rd, Longview, TX 75604 Phone: 903-918-7797 Fax: 903-295-5858
Shelley Elaine Norman, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 N 4th St, Longview, TX 75601 Phone: 903-758-2471
Hollye Goodson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 N 4th St, Longview, TX 75601 Phone: 903-758-2471
Mr. Mark Hayes, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 E Cotton St, Longview, TX 75601 Phone: 903-757-9383 Fax: 903-757-4714
Janna C Binford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 708 Willowood St, Longview, TX 75604 Phone: 903-806-5440

Samwel Kebaya, - Medicare Counselor in Longview, TX