Scottye Sparks, LPCC in Buckner, KY - Medicare Counselor Provider

Scottye Sparks, LPCC is a medicare enrolled "Counselor - Professional" provider in Buckner, Kentucky. His current practice location is 4414 Old Lagrange Rd, Buckner, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 222-2389.

Scottye Sparks is licensed to practice in Kentucky (license number 281849) 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 1447633839.

Contact Information

	Scottye Sparks, LPCC
	4414 Old Lagrange Rd, Buckner, KY 40010-9547
	(502) 222-2389
	(502) 222-2927

Map and Direction

Healthcare Provider's Profile

Full Name	Scottye Sparks
Gender	Male
Speciality	Counselor - Professional
Location	4414 Old Lagrange Rd, Buckner, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447633839
Provider Enumeration Date: 07/02/2015
Last Update Date: 09/12/2024

Medicare PECOS Information:

PECOS PAC ID: 9739628728
Enrollment ID: I20240821005010

Medical Identifiers

Medical identifiers for Scottye Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447633839	NPI	-	NPPES
7100879980	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	281849 (Kentucky)	Secondary
101YP2500X	Counselor - Professional	281849 (Kentucky)	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. Scottye Sparks allows following entities to bill medicare on his behalf.

Entity Name	Prodigal Ministries Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013662717 PECOS PAC ID: 2860840493 Enrollment ID: O20231121000960

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. Scottye Sparks 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
Scottye Sparks, LPCC Po Box 1484, Crestwood, KY 40014-1484 Ph: (502) 222-2389	Scottye Sparks, LPCC 4414 Old Lagrange Rd, Buckner, KY 40010-9547 Ph: (502) 222-2389

Reviews and Comments

Counselor in Buckner, KY

Ashley Stump, CADCA1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389
Rodney Frederick, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389
Brittanni Mcmanaway, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389
Michael Henney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389 Fax: 502-222-2927
Deenie Pelfrey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old Lagrange Rd, Buckner, KY 40010 Phone: 502-222-2389
Bryan Purcell, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4414 Old La Grange Rd, Buckner, KY 40010 Phone: 502-222-2389 Fax: 502-222-2927

Scottye Sparks, LPCC - Medicare Counselor in Buckner, KY