Alexa Evon Demoe, LPC in Amery, WI - Medicare Counselor Provider

Alexa Evon Demoe, LPC is a medicare enrolled "Counselor - Mental Health" provider in Amery, Wisconsin. Her current practice location is 230 Deronda St, Amery, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 268-8000.

Alexa Evon Demoe is licensed to practice in Wisconsin (license number 8404-125) 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 1780240184.

Contact Information

	Alexa Evon Demoe, LPC
	230 Deronda St, Amery, WI 54001-1412
	(715) 268-8000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexa Evon Demoe
Gender	Female
Speciality	Counselor - Mental Health
Location	230 Deronda St, Amery, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780240184
Provider Enumeration Date: 05/13/2019
Last Update Date: 06/20/2025

Medicare PECOS Information:

PECOS PAC ID: 8628510278
Enrollment ID: I20240611000976

Medical Identifiers

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

Identifier	Type	State	Issuer
1780240184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	8404-125 (Wisconsin)	Primary
101YP2500X	Counselor - Professional	4173-226 (Wisconsin)	Secondary

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. Alexa Evon Demoe allows following entities to bill medicare on her behalf.

Entity Name	Soar Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437571569 PECOS PAC ID: 6406398163 Enrollment ID: O20240610001306

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. Alexa Evon Demoe 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
Alexa Evon Demoe, LPC Po Box 265, Shell Lake, WI 54871-0265 Ph: () -	Alexa Evon Demoe, LPC 230 Deronda St, Amery, WI 54001-1412 Ph: (715) 268-8000

Reviews and Comments

Counselor in Amery, WI

Linda Christine Mueller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Griffin, Amery, WI 54001 Phone: 715-268-8000
Emily Jane Schueller, AAS, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Deronda St, Amery, WI 54001 Phone: 715-268-0060
Ashley Hinzman, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Deronda St, Amery, WI 54001 Phone: 715-268-0060 Fax: 715-268-0061
Miranda Marie Fassbender, Counselor Medicare: Medicare Enrolled Practice Location: 230 Deronda St, Amery, WI 54001 Phone: 715-268-8000
Brian C Francis, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Deronda St, Amery, WI 54001 Phone: 715-268-0136 Fax: 715-268-0061
Jeffrey Coleman Lund, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Deronda St, Amery, WI 54001 Phone: 715-268-8000
Deborah K Rogers, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Scholl Ct, Amery, WI 54001 Phone: 715-327-4402 Fax: 715-327-8509

Alexa Evon Demoe, LPC - Medicare Counselor in Amery, WI