Willie Johnathan Wells, LPC in Southaven, MS - Medicare Counselor Provider

Willie Johnathan Wells, LPC is a medicare enrolled "Counselor - Professional" provider in Southaven, Mississippi. His current practice location is 6857 Cobblestone Blvd, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 253-8040.

Willie Johnathan Wells is licensed to practice in Mississippi (license number 1976) 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 1952772410.

Contact Information

	Willie Johnathan Wells, LPC
	6857 Cobblestone Blvd, Southaven, MS 38672-9312
	(662) 253-8040
	(662) 470-5984

Map and Direction

Healthcare Provider's Profile

Full Name	Willie Johnathan Wells
Gender	Male
Speciality	Counselor - Professional
Location	6857 Cobblestone Blvd, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952772410
Provider Enumeration Date: 10/09/2015
Last Update Date: 06/03/2019

Medicare PECOS Information:

PECOS PAC ID: 9234588617
Enrollment ID: I20240129002724

Medical Identifiers

Medical identifiers for Willie Johnathan Wells such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952772410	NPI	-	NPPES
Q023618	Medicaid	TN
04539260	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	1976 (Mississippi)	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. Willie Johnathan Wells allows following entities to bill medicare on his behalf.

Entity Name	Right Track Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972080257 PECOS PAC ID: 8729403415 Enrollment ID: O20200728003297

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. Willie Johnathan Wells 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
Willie Johnathan Wells, LPC 58 Timber Creek Dr, Cordova, TN 38018-4233 Ph: (622) 253-8040	Willie Johnathan Wells, LPC 6857 Cobblestone Blvd, Southaven, MS 38672-9312 Ph: (662) 253-8040

Reviews and Comments

Counselor in Southaven, MS

Dr. Marilyn S Snow, PH.D. ,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8626 Airways Blvd, Southaven, MS 38671 Phone: 662-772-5937 Fax: 662-772-5940
Debbie S. Harrison, LPC, MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 8829 Centre St, Southaven, MS 38671 Phone: 662-280-5758 Fax: 662-280-5708
Mrs. Angelique R Walker, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9151 Kirkwood Ln, Southaven, MS 38671 Phone: 228-234-5928
Kimberly Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Goodman Rd E, Southaven, MS 38671 Phone: 662-470-5433 Fax: 501-745-2378
Ms. Lakeia Kirksey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7160 Tchulahoma Rd Bldg B, Southaven, MS 38671 Phone: 662-536-3132
Mrs. Meagan Michell Mcpherson, LPC, M.ED, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 885 Ferncliff Cv, Suite Number 2, Southaven, MS 38671 Phone: 662-342-2700 Fax: 662-342-7300
Sarah Katherine Moore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6858 Swinnea Rd Bldg 7, Southaven, MS 38671 Phone: 901-250-2730

Willie Johnathan Wells, LPC - Medicare Counselor in Southaven, MS