Angela Lacynda Phillips, in Tecumseh, OK - Medicare Counselor Provider

Angela Lacynda Phillips, is a medicare enrolled "Counselor" provider in Tecumseh, Oklahoma. Her current practice location is 602 N Broadway St, Tecumseh, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 585-3833.

Angela Lacynda Phillips is licensed to practice in * (Not Available) (license number ) 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 1316319510.

Contact Information

	Angela Lacynda Phillips,
	602 N Broadway St, Tecumseh, OK 74873-2020
	(405) 585-3833
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Lacynda Phillips
Gender	Female
Speciality	Counselor
Location	602 N Broadway St, Tecumseh, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316319510
Provider Enumeration Date: 10/27/2015
Last Update Date: 04/26/2018

Medicare PECOS Information:

PECOS PAC ID: 4284170879
Enrollment ID: I20240718004496

Medical Identifiers

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

Identifier	Type	State	Issuer
1316319510	NPI	-	NPPES
1316319510	Other	OK	INDIVIDUAL NPI
134602	Other	OK	EAST CENTRAL UNIVERSITY
6747	Other	OK	LPC LICENSED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	6747 (Oklahoma)	Secondary
101Y00000X	Counselor	(* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela Lacynda Phillips allows following entities to bill medicare on her behalf.

Entity Name	Olive Branch Behavioral Health Counseling Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538657572 PECOS PAC ID: 3375089964 Enrollment ID: O20240718004442

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. Angela Lacynda Phillips 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
Angela Lacynda Phillips, Po Box 589, Tecumseh, OK 74873-0589 Ph: (405) 585-3833	Angela Lacynda Phillips, 602 N Broadway St, Tecumseh, OK 74873-2020 Ph: (405) 585-3833

Reviews and Comments

Counselor in Tecumseh, OK

Mrs. Julie Anna Tobin-branham, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 31209 Little River Rd, Tecumseh, OK 74873 Phone: 405-573-6624
Leigh Nicole George, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24962 Okay Rd, Tecumseh, OK 74873 Phone: 405-331-7979
Mr. Kyle Belvin Cantrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 E Highland St, Tecumseh, OK 74873 Phone: 405-990-8305
Clinton Alexander Neher, LADC/MH CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 24962 Okay Rd, Tecumseh, OK 74873 Phone: 405-777-4922
Mr. Tripp Lane Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Broadway St, Tecumseh, OK 74873 Phone: 405-585-3777
Mrs. Linsy Rebecca Ingmire, M. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 36545 Highway 9, Tecumseh, OK 74873 Phone: 405-830-2019

Angela Lacynda Phillips, - Medicare Counselor in Tecumseh, OK