Suzanna Mullenneaux, LMHC in Fairfield, IA - Medicare Counselor Provider

Suzanna Mullenneaux, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fairfield, Iowa. Her current practice location is 301 W Burlington, Fairfield, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 472-5771.

Suzanna Mullenneaux is licensed to practice in Iowa (license number 00968) 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 1134215197.

Contact Information

	Suzanna Mullenneaux, LMHC
	301 W Burlington, Fairfield, IA 52556-3242
	(641) 472-5771
	(641) 472-1817

Map and Direction

Healthcare Provider's Profile

Full Name	Suzanna Mullenneaux
Gender	Female
Speciality	Counselor - Mental Health
Location	301 W Burlington, Fairfield, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134215197
Provider Enumeration Date: 10/05/2006
Last Update Date: 10/27/2022

Medicare PECOS Information:

PECOS PAC ID: 3870943640
Enrollment ID: I20231220002697

Medical Identifiers

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

Identifier	Type	State	Issuer
1134215197	NPI	-	NPPES
107314000	Other	IA	IOWA PLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	00968 (Iowa)	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. Suzanna Mullenneaux allows following entities to bill medicare on her behalf.

Entity Name	Optimae Lifeservices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184898470 PECOS PAC ID: 8022912211 Enrollment ID: O20031120000270

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. Suzanna Mullenneaux 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
Suzanna Mullenneaux, LMHC 301 W Burlington, Fairfield, IA 52556-3242 Ph: (641) 472-1684	Suzanna Mullenneaux, LMHC 301 W Burlington, Fairfield, IA 52556-3242 Ph: (641) 472-5771

Reviews and Comments

Counselor in Fairfield, IA

Amy Joellen Molyneux, LMSW Counselor Medicare: Medicare Enrolled Practice Location: 301 W Burlington Ave, Fairfield, IA 52556 Phone: 641-472-5771 Fax: 641-472-1817
Sara Jones, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 E Adams Ave, Fairfield, IA 52556 Phone: 319-293-3635
Amber Dressler, Counselor Medicare: Medicare Enrolled Practice Location: 503 E Jefferson Ave, Fairfield, IA 52556 Phone: 888-870-1775
Ms. Teresa Ann Pappas, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 301 W Burlington, Fairfield, IA 52556 Phone: 808-494-9540 Fax: 808-885-0716
Douglas John Buttikofer, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 W Broadway Ave, Suite 111 Unit 41, Fairfield, IA 52556 Phone: 641-919-0647
Michael W. Champ, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 W Lowe Ave, Suite 108, Fairfield, IA 52556 Phone: 641-233-8332

Suzanna Mullenneaux, LMHC - Medicare Counselor in Fairfield, IA