Mr Wayne Oliver Powell, LPC is a medicare enrolled "Counselor" provider in South Riding, Virginia. His current practice location is
43565 Ahlea Ln, South Riding, Virginia. You can reach out to his office (for appointments etc.) via phone at
(855) 326-4673.
Mr Wayne Oliver Powell is licensed to practice in Virginia (license number 0701005499) 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 1114327699.
Healthcare Provider's Profile
Full Name | Mr Wayne Oliver Powell |
---|
Gender | Male |
---|
Speciality | Counselor |
---|
Location | 43565 Ahlea Ln, South Riding, Virginia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114327699
- Provider Enumeration Date: 09/03/2014
- Last Update Date: 06/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800239641
- Enrollment ID: I20240208000845
Medical Identifiers
Medical identifiers for Mr Wayne Oliver Powell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114327699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 0701005499 (Virginia) | Secondary |
101Y00000X | Counselor | 0701005499 (Virginia) | 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. Mr Wayne Oliver Powell allows following entities to bill medicare on his behalf.
Entity Name | Brambleton Assessment And Counseling Center |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1194142836 PECOS PAC ID: 5597028514 Enrollment ID: O20180404001466 |
---|
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. Mr Wayne Oliver Powell 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 |
Mr Wayne Oliver Powell, LPC 3536 Brambleton Ave., S.w., Suite 3, Brambleton Assessment & Counseling Center, Roanoke, VA 24018-3536 Ph: (540) 537-9834 | Mr Wayne Oliver Powell, LPC 43565 Ahlea Ln, South Riding, VA 20152-4800 Ph: (855) 326-4673 |
Reviews and Comments