Stefany Vaughn Mack, LPCC-S in Glasgow, KY - Medicare Counselor Provider

Stefany Vaughn Mack, LPCC-S is a medicare enrolled "Counselor - Professional" provider in Glasgow, Kentucky. Her current practice location is 115 Columbia Ave, Glasgow, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 479-8900.

Stefany Vaughn Mack is licensed to practice in Kentucky (license number 175254) 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 1174038293.

Contact Information

	Stefany Vaughn Mack, LPCC-S
	115 Columbia Ave, Glasgow, KY 42141-2903
	(270) 479-8900
	(877) 308-1668

Map and Direction

Healthcare Provider's Profile

Full Name	Stefany Vaughn Mack
Gender	Female
Speciality	Counselor - Professional
Location	115 Columbia Ave, Glasgow, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174038293
Provider Enumeration Date: 12/12/2017
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 6002353042
Enrollment ID: I20240807004005

Medical Identifiers

Medical identifiers for Stefany Vaughn Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174038293	NPI	-	NPPES
7100496490	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	175254 (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. Stefany Vaughn Mack allows following entities to bill medicare on her behalf.

Entity Name	Bluegrass Professional Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063899789 PECOS PAC ID: 3476815085 Enrollment ID: O20180320000399

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. Stefany Vaughn Mack 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
Stefany Vaughn Mack, LPCC-S 115 Columbia Ave, Glasgow, KY 42141-2903 Ph: (270) 479-8900	Stefany Vaughn Mack, LPCC-S 115 Columbia Ave, Glasgow, KY 42141-2903 Ph: (270) 479-8900

Reviews and Comments

Counselor in Glasgow, KY

Natalie Ann Curry, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Happy Valley Rd, Glasgow, KY 42141 Phone: 833-510-4357
Ms. Amber Denise Rahim, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-307-1935
Derrick Wagoner, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-678-4801 Fax: 270-678-3866
Amy Brickler, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-678-4801 Fax: 270-678-3866
Liisa Lucas, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Happy Valley Rd, Glasgow, KY 42141 Phone: 270-901-5000
April Crenshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Happy Valley Rd, Glasgow, KY 42141 Phone: 270-901-5000 Fax: 270-842-5268
Rachael Keeling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Reynolds Rd, Glasgow, KY 42141 Phone: 270-904-6567

Stefany Vaughn Mack, LPCC-S - Medicare Counselor in Glasgow, KY