<unavail> in Chehalis, WA - Medicare Counselor

is a medicare enrolled mental health clinic (Counselor - Mental Health) in Chehalis, Washington. The current practice location for is 1633 Sw Kelly Ave, Chehalis, Washington. For appointments, you can reach them via phone at (360) 524-1469. The mailing address for is Po Box 903, Chehalis, Washington and phone number is (360) 524-1469.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629759451. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (360) 524-1469.

Contact Information


	1633 Sw Kelly Ave Chehalis WA 98532-3822
	(360) 524-1469
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Counselor
Location	1633 Sw Kelly Ave, Chehalis, Washington
Authorized Official Name and Position	Ruyman D Hernandez (OWNER)
Authorized Official Contact	3605241469
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 903 Chehalis WA 98532-0903 Ph: (360) 524-1469	1633 Sw Kelly Ave Chehalis WA 98532-3822 Ph: (360) 524-1469

NPI Details:

NPI Number	1629759451
Provider Enumeration Date	07/25/2023
Last Update Date	06/10/2024
Certification Date	06/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5395189328
Medicare Enrollment ID	O20240219001104

Medical Identifiers

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

Identifier	Type	State	Issuer
1629759451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Ruyman David Hernandez
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1811650930 PECOS PAC ID: 2961858345 Enrollment ID: I20240828002786

Reviews and Comments

Counselor in Chehalis, WA

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Eugenia Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 North Market Blvd, Ste C, Chehalis, WA 98532 Phone: 360-948-0203 Fax: 360-262-6620
Walmart Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw Louisiana Ave, Chehalis, WA 98532 Phone: 360-748-0858
Eugenia Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 N Market Blvd, Chehalis, WA 98532 Phone: 360-948-0203
Internal Acceptance, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Nw Boistfort St, Chehalis, WA 98532 Phone: 360-349-1544 Fax: 844-270-5866

- Medicare Mental Health Clinic in Chehalis, WA