Tracey M Lickfelt, LMHC in Richmond, IN - Medicare Counselor Provider

Tracey M Lickfelt, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Richmond, Indiana. Her current practice location is 831 Dillon Dr, Richmond, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 983-8000.

Tracey M Lickfelt is licensed to practice in Indiana (license number 39001453A) 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 1770672206.

Contact Information

	Tracey M Lickfelt, LMHC
	831 Dillon Dr, Richmond, IN 47374-8048
	(765) 983-8000
	(765) 983-8609

Map and Direction

Healthcare Provider's Profile

Full Name	Tracey M Lickfelt
Gender	Female
Speciality	Counselor - Mental Health
Location	831 Dillon Dr, Richmond, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770672206
Provider Enumeration Date: 10/12/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6204271471
Enrollment ID: I20240227003207

Medical Identifiers

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

Identifier	Type	State	Issuer
1770672206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	39001453A (Indiana)	Secondary
101YM0800X	Counselor - Mental Health	39001453A (Indiana)	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. Tracey M Lickfelt allows following entities to bill medicare on her behalf.

Entity Name	Centerstone Of Indiana, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711

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. Tracey M Lickfelt 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
Tracey M Lickfelt, LMHC Po Box 487, Richmond, IN 47375-0487 Ph: (765) 983-8000	Tracey M Lickfelt, LMHC 831 Dillon Dr, Richmond, IN 47374-8048 Ph: (765) 983-8000

Reviews and Comments

Counselor in Richmond, IN

Tami Vance, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609
Nancy Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609
Mr. Dallas Randall Wilson, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Sw 5th St, Richmond, IN 47374 Phone: 765-288-1928 Fax: 765-935-1582
Emily Jarboe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609
Leia Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609
Monica Kinley-kuhn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609
Michael Delaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609

Tracey M Lickfelt, LMHC - Medicare Counselor in Richmond, IN