Carl Raye Harbison Jr, in Poplar Bluff, MO - Medicare Counselor Provider

Carl Raye Harbison Jr, is a medicare enrolled "Counselor - Mental Health" provider in Poplar Bluff, Missouri. His current practice location is 2077 Tumbleweed Trl, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 604-5404.

Carl Raye Harbison Jr is licensed to practice in Missouri (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174098115.

Contact Information

	Carl Raye Harbison Jr,
	2077 Tumbleweed Trl, Poplar Bluff, MO 63901-8373
	(573) 604-5404
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carl Raye Harbison Jr
Gender	Male
Speciality	Counselor - Mental Health
Location	2077 Tumbleweed Trl, Poplar Bluff, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174098115
Provider Enumeration Date: 10/05/2018
Last Update Date: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 7315380383
Enrollment ID: I20240206004221

Medical Identifiers

Medical identifiers for Carl Raye Harbison Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174098115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2018037840 (Missouri)	Secondary
101YM0800X	Counselor - Mental Health	(Missouri)	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. Carl Raye Harbison Jr allows following entities to bill medicare on his behalf.

Entity Name	Big Springs Medical Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695

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. Carl Raye Harbison Jr 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
Carl Raye Harbison Jr, 2077 Tumbleweed Trl, Poplar Bluff, MO 63901-8373 Ph: (573) 604-5404	Carl Raye Harbison Jr, 2077 Tumbleweed Trl, Poplar Bluff, MO 63901-8373 Ph: (573) 604-5404

Reviews and Comments

Counselor in Poplar Bluff, MO

Ms. Lydia Alpha Mabbitt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029
Ms. Christina J Cunningham, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029
Kristi Lynn Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200
Jeffrey E Killian, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 Herschel Bess Blvd, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029
Mr. Larry Todd Allen, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2725 N Westwood Blvd, Suite 5a, Poplar Bluff, MO 63901 Phone: 573-785-0333 Fax: 573-785-0333
Sarah Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1328 Fax: 573-686-1029
Miss Robin Denise Vickery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 Fax: 573-686-1029

Carl Raye Harbison Jr, - Medicare Counselor in Poplar Bluff, MO