Bonnie Selby, in Melbourne, AR - Medicare Counselor Provider

Bonnie Selby, is a medicare enrolled "Counselor - Mental Health" provider in Melbourne, Arkansas. Her current practice location is 1109 E. Main Street, Melbourne, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 368-4397.

Bonnie Selby is licensed to practice in Arkansas (license number 880-C) 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 1649384777.

Contact Information

	Bonnie Selby,
	1109 E. Main Street, Melbourne, AR 72556
	(870) 368-4397
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bonnie Selby
Gender	Female
Speciality	Counselor - Mental Health
Location	1109 E. Main Street, Melbourne, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649384777
Provider Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6406827500
Enrollment ID: I20040803000787

Medical Identifiers

Medical identifiers for Bonnie Selby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649384777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	880-C (Arkansas)	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. Bonnie Selby allows following entities to bill medicare on her behalf.

Entity Name	White River Health System, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710952650 PECOS PAC ID: 0143134270 Enrollment ID: O20031206000064

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. Bonnie Selby 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
Bonnie Selby, Po Box 725, Melbourne, AR 72556-0725 Ph: () -	Bonnie Selby, 1109 E. Main Street, Melbourne, AR 72556 Ph: (870) 368-4397

Reviews and Comments

Counselor in Melbourne, AR

Ms. Lisa Moxley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1109 E Main St, Melbourne, AR 72556 Phone: 870-368-4397 Fax: 870-368-7828
Dana Ingram, NCC, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 31 School Dr Ste B, Melbourne, AR 72556 Phone: 870-300-2112 Fax: 844-377-1447
Ms. Carla Jones, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 517 North Dixon, Melbourne, AR 72556 Phone: 417-833-1211

Bonnie Selby, - Medicare Counselor in Melbourne, AR