Tracy Lee Mattingly-miller, LPCC,NCC in Richmond, KY

Tracy Lee Mattingly-miller, LPCC,NCC is a medicare enrolled "Counselor - Professional" provider in Richmond, Kentucky. Her current practice location is 1421 Lexington Rd, Richmond, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 624-2454.

Tracy Lee Mattingly-miller is licensed to practice in Kentucky (license number 105746) 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 1790159002.

Contact Information

	Tracy Lee Mattingly-miller, LPCC,NCC
	1421 Lexington Rd, Richmond, KY 40475-1059
	(859) 624-2454
	(859) 624-2454

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Lee Mattingly-miller
Gender	Female
Speciality	Counselor - Professional
Location	1421 Lexington Rd, Richmond, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790159002
Provider Enumeration Date: 11/24/2015
Last Update Date: 05/26/2016

Medicare PECOS Information:

PECOS PAC ID: 7214479476
Enrollment ID: I20240604001693

Medical Identifiers

Medical identifiers for Tracy Lee Mattingly-miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790159002	NPI	-	NPPES
000000991124	Other		ANTHEM PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1205 (Kentucky)	Secondary
101YP2500X	Counselor - Professional	105746 (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. Tracy Lee Mattingly-miller allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230914000250

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. Tracy Lee Mattingly-miller 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
Tracy Lee Mattingly-miller, LPCC,NCC 345 Boggs Rd, London, KY 40744-7204 Ph: (606) 657-6579	Tracy Lee Mattingly-miller, LPCC,NCC 1421 Lexington Rd, Richmond, KY 40475-1059 Ph: (859) 624-2454

Reviews and Comments

Counselor in Richmond, KY

Crystal Childress, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1042 Center Dr, Richmond, KY 40475 Phone: 859-575-1518
Heather Coley Wemple, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 E Walnut St, Richmond, KY 40475 Phone: 517-395-9997
Dr. Bianca M Puglia, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 N 3rd St, Suite 2, Richmond, KY 40475 Phone: 859-575-4100
Ms. Aleshia Joy Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Gibson Ln, Richmond, KY 40475 Phone: 859-626-5030
Polly Craig, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1043 Center Dr, Richmond, KY 40475 Phone: 859-338-0466
Ms. Adra Lee Fisher, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Gibson Ln, Richmond, KY 40475 Phone: 859-253-1686 Fax: 859-254-2743
Mr. Jared A Dillow, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Gibson Ln, Richmond, KY 40475 Phone: 856-626-5030 Fax: 859-626-8020

Tracy Lee Mattingly-miller, LPCC,NCC - Medicare Counselor in Richmond, KY