Ty Marie Wood, LPC CANDIDATE in Miami, OK - Medicare Counselor Provider

Ty Marie Wood, LPC CANDIDATE is a medicare enrolled "Counselor - Mental Health" provider in Miami, Oklahoma. Her current practice location is 120 S Treaty Rd, Miami, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (620) 249-9411.

Ty Marie Wood is licensed to practice in Kansas (license number 1255) 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 1942443429.

Contact Information

	Ty Marie Wood, LPC CANDIDATE
	120 S Treaty Rd, Miami, OK 74354-5326
	(620) 249-9411
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ty Marie Wood
Gender	Female
Speciality	Counselor - Mental Health
Location	120 S Treaty Rd, Miami, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942443429
Provider Enumeration Date: 04/13/2009
Last Update Date: 04/03/2012

Medicare PECOS Information:

PECOS PAC ID: 6204287576
Enrollment ID: I20240111000277

Medical Identifiers

Medical identifiers for Ty Marie Wood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942443429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	1255 (Kansas)	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. Ty Marie Wood allows following entities to bill medicare on her behalf.

Entity Name	Grand Lake Mental Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174

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. Ty Marie Wood 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
Ty Marie Wood, LPC CANDIDATE 120 S Treaty Rd, Miami, OK 74354-5326 Ph: (620) 249-9411	Ty Marie Wood, LPC CANDIDATE 120 S Treaty Rd, Miami, OK 74354-5326 Ph: (620) 249-9411

Reviews and Comments

Counselor in Miami, OK

Mrs. Katherine Renee Burke, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S. Treaty Rd., Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374
Phillip Horn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Treaty Rd, Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374
Racheal Fisher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W Steve Owens Blvd, Miami, OK 74354 Phone: 918-542-2845
Isabella Gail Burrell, LPC, NCGC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 E Steve Owens Boulevard, Miami, OK 74354 Phone: 918-576-3050
John Klenke, LPC-C Counselor Medicare: Medicare Enrolled Practice Location: 111 S Treaty Rd, Miami, OK 74354 Phone: 918-592-8614
Jennifer Shobe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Treaty Rd, Miami, OK 74354 Phone: 918-540-1511 Fax: 918-542-7374
Eric Goodpaster, TEACHING CERTIFICATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W Steve Owens Blvd, Miami, OK 74354 Phone: 918-542-2845

Ty Marie Wood, LPC CANDIDATE - Medicare Counselor in Miami, OK