Tyler Kackley, LPCMH in Middletown, DE - Medicare Counselor Provider

Tyler Kackley, LPCMH is a medicare enrolled "Counselor - Mental Health" provider in Middletown, Delaware. His current practice location is 735 Mapleton Ave Ste 200, Middletown, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 224-1400.

Tyler Kackley is licensed to practice in Delaware (license number PC-0011149) 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 1033870308.

Contact Information

	Tyler Kackley, LPCMH
	735 Mapleton Ave Ste 200, Middletown, DE 19709-1560
	(302) 224-1400
	(302) 224-1402

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Kackley
Gender	Male
Speciality	Counselor - Mental Health
Location	735 Mapleton Ave Ste 200, Middletown, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033870308
Provider Enumeration Date: 01/07/2022
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 7517300916
Enrollment ID: I20240213000058

Medical Identifiers

Medical identifiers for Tyler Kackley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033870308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PC-0011149 (Delaware)	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. Tyler Kackley allows following entities to bill medicare on his behalf.

Entity Name	Mid-atlantic Behavioral Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871719872 PECOS PAC ID: 3375620016 Enrollment ID: O20080407000009

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. Tyler Kackley 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
Tyler Kackley, LPCMH 910 S Chapel St Ste 102, Newark, DE 19713-3468 Ph: (302) 224-1400	Tyler Kackley, LPCMH 735 Mapleton Ave Ste 200, Middletown, DE 19709-1560 Ph: (302) 224-1400

Reviews and Comments

Counselor in Middletown, DE

Mary C. Fenimore, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Sandhill Dr Ste 202, Middletown, DE 19709 Phone: 302-674-2380 Fax: 302-376-6212
Mrs. Laurie Ann Denham, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 252 Carter Dr, Middletown, DE 19709 Phone: 302-738-6859 Fax: 302-368-5309
Mrs. Sandra Lee Knauer-king, MSW Counselor Medicare: Medicare Enrolled Practice Location: 401 N Broad St, Middletown, DE 19709 Phone: 302-376-0621 Fax: 302-376-6219
Ms. Angie C Walker, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Shannon Blvd, Middletown, DE 19709 Phone: 302-981-3851
Brittanee King, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 364 E Main St Ste 184, Middletown, DE 19709 Phone: 302-563-5140
Mr. Demetrius Valentino Mckay, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 Acasta Dr, Middletown, DE 19709 Phone: 609-217-3374

Tyler Kackley, LPCMH - Medicare Counselor in Middletown, DE