Tyler Woodall, LPC-INTERN in Keller, TX - Medicare Counselor Provider

Tyler Woodall, LPC-INTERN is a medicare enrolled "Counselor - Professional" provider in Keller, Texas. His current practice location is 1668 Keller Parkway, Suite 200, Keller, Texas. You can reach out to his office (for appointments etc.) via phone at (505) 249-1179.

Tyler Woodall is licensed to practice in Texas (license number 84349) 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 1316556145.

Contact Information

	Tyler Woodall, LPC-INTERN
	1668 Keller Parkway, Suite 200, Keller, TX 76248
	(505) 249-1179
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Woodall
Gender	Male
Speciality	Counselor - Professional
Location	1668 Keller Parkway, Keller, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316556145
Provider Enumeration Date: 07/28/2020
Last Update Date: 11/05/2020

Medicare PECOS Information:

PECOS PAC ID: 7113370107
Enrollment ID: I20240125003450

Medical Identifiers

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

Identifier	Type	State	Issuer
1316556145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	84349 (Texas)	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 Woodall allows following entities to bill medicare on his behalf.

Entity Name	The Center For Integrative Counseling And Psychology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720193899 PECOS PAC ID: 8527111731 Enrollment ID: O20091028000698

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 Woodall 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 Woodall, LPC-INTERN 1668 Keller Parkway, Suite 200, Keller, TX 76248 Ph: (505) 249-1179	Tyler Woodall, LPC-INTERN 1668 Keller Parkway, Suite 200, Keller, TX 76248 Ph: (505) 249-1179

Reviews and Comments

Counselor in Keller, TX

Darlene Ella Vanchura, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5751 Kroger Dr, Suite 235, Keller, TX 76248 Phone: 817-371-4312
Michael David Webb, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1858 Keller Pkwy, Suite D, Keller, TX 76248 Phone: 817-791-5703
Mr. Robert G Harwell, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N Main St, #a, Keller, TX 76248 Phone: 817-337-1603 Fax: 817-337-1604
Katherine Leath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Main St Ste 1, Keller, TX 76248 Phone: 817-999-6410
Mrs. Kate Ann Mann, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 816 Keller Pkwy, Suite B302, Keller, TX 76248 Phone: 817-562-8731 Fax: 817-562-8222
Melisa Valeri Elieson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1664 Keller Pkwy, Suite 100, Keller, TX 76248 Phone: 817-854-3201 Fax: 817-854-3201
Kimberly Jill Smith, LPC Counselor Medicare: Medicare Enrolled Practice Location: 620 Stoneglen Dr Ste B, Keller, TX 76248 Phone: 817-562-8800

Tyler Woodall, LPC-INTERN - Medicare Counselor in Keller, TX