Wanda A Blackwell, MS, LPC in Shawnee, OK - Medicare Counselor Provider

Wanda A Blackwell, MS, LPC is a medicare enrolled "Counselor" provider in Shawnee, Oklahoma. Her current practice location is 1131 N Kickapoo Ave, Shawnee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 275-2877.

Wanda A Blackwell is licensed to practice in Oklahoma (license number LPC #3140) 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 1740350396.

Contact Information

	Wanda A Blackwell, MS, LPC
	1131 N Kickapoo Ave, Shawnee, OK 74801-4845
	(405) 275-2877
	(405) 275-2877

Map and Direction

Healthcare Provider's Profile

Full Name	Wanda A Blackwell
Gender	Female
Speciality	Counselor
Location	1131 N Kickapoo Ave, Shawnee, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740350396
Provider Enumeration Date: 11/09/2006
Last Update Date: 02/09/2010

Medicare PECOS Information:

PECOS PAC ID: 0143667519
Enrollment ID: I20240320003278

Medical Identifiers

Medical identifiers for Wanda A Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740350396	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LPC #3140 (Oklahoma)	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. Wanda A Blackwell allows following entities to bill medicare on her behalf.

Entity Name	Quest Mhsa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174776819 PECOS PAC ID: 4688943657 Enrollment ID: O20170927004331

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. Wanda A Blackwell 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
Wanda A Blackwell, MS, LPC Po Box 3, Morris, OK 74445-0003 Ph: (918) 733-9486	Wanda A Blackwell, MS, LPC 1131 N Kickapoo Ave, Shawnee, OK 74801-4845 Ph: (405) 275-2877

Reviews and Comments

Counselor in Shawnee, OK

Darian N Gates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-275-7100
Stephanie A. Jennings, LPC-CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1605 N Harrison St, Shawnee, OK 74804 Phone: 405-481-7187 Fax: 405-481-7219
Jessica Loren Buchanan, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-878-1135 Fax: 405-878-1138
Mrs. Georgia Earline Ramsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-275-7100
Kristy Ann Morrell, LCSW-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Madeline Dr, Shawnee, OK 74801 Phone: 405-585-9653
Christine Wahpekeche, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Butler Dr, Shawnee, OK 74804 Phone: 405-617-9669
Lori Payne, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-424-7711 Fax: 405-425-0445

Wanda A Blackwell, MS, LPC - Medicare Counselor in Shawnee, OK