Tracie Wells, LPC in Malvern, AR - Medicare Counselor Provider

Tracie Wells, LPC is a medicare enrolled "Counselor - Mental Health" provider in Malvern, Arkansas. Her current practice location is 1615 Martin Luther King Blvd, Malvern, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 624-7111.

Tracie Wells is licensed to practice in Arkansas (license number P1608120) 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 1295079622.

Contact Information

	Tracie Wells, LPC
	1615 Martin Luther King Blvd, Malvern, AR 72104
	(501) 624-7111
	(501) 620-5109

Map and Direction

Healthcare Provider's Profile

Full Name	Tracie Wells
Gender	Female
Speciality	Counselor - Mental Health
Location	1615 Martin Luther King Blvd, Malvern, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295079622
Provider Enumeration Date: 11/26/2012
Last Update Date: 06/18/2018

Medicare PECOS Information:

PECOS PAC ID: 2860831401
Enrollment ID: I20240416002461

Medical Identifiers

Medical identifiers for Tracie Wells such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295079622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	P1608120 (Arkansas)	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. Tracie Wells allows following entities to bill medicare on her behalf.

Entity Name	Conway Counseling & Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528454139 PECOS PAC ID: 4183933781 Enrollment ID: O20151022000370

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. Tracie Wells 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
Tracie Wells, LPC 125 Wellness Way, Hot Springs, AR 71913-6478 Ph: (501) 624-7111	Tracie Wells, LPC 1615 Martin Luther King Blvd, Malvern, AR 72104 Ph: (501) 624-7111

Reviews and Comments

Counselor in Malvern, AR

Yvonne S Cook, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1615 Martin Luther King Blvd., Malvern, AR 72104 Phone: 501-620-5231 Fax: 501-620-5203
Jason Engle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 E Page Ave, Malvern, AR 72104 Phone: 501-337-5600 Fax: 501-337-5603
Laura Hendershott, RN BSN Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 870-557-3238
Kimberly Ann Boogaerts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400
Laporschia Green, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400
Kayla Burnett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400 Fax: 501-332-4403
William Chad Langford, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1615 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-332-5236

Tracie Wells, LPC - Medicare Counselor in Malvern, AR