Courtney Bacon-latina, LPC in Malvern, AR - Medicare Counselor Provider

Courtney Bacon-latina, LPC is a medicare enrolled "Counselor - Mental Health" provider in Malvern, Arkansas. Her current practice location is 829 Halbert St, Malvern, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 332-4400.

Courtney Bacon-latina is licensed to practice in Arkansas (license number P2203015) 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 1922649532.

Contact Information

	Courtney Bacon-latina, LPC
	829 Halbert St, Malvern, AR 72104-2607
	(501) 332-4400
	(501) 332-4403

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Bacon-latina
Gender	Female
Speciality	Counselor - Mental Health
Location	829 Halbert St, Malvern, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922649532
Provider Enumeration Date: 10/04/2019
Last Update Date: 04/01/2022

Medicare PECOS Information:

PECOS PAC ID: 0840642492
Enrollment ID: I20240118003523

Medical Identifiers

Medical identifiers for Courtney Bacon-latina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922649532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	P2203015 (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. Courtney Bacon-latina allows following entities to bill medicare on her behalf.

Entity Name	Tfs Of Gurdon Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639180805 PECOS PAC ID: 3971594052 Enrollment ID: O20061012000608

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. Courtney Bacon-latina 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
Courtney Bacon-latina, LPC 829 Halbert St, Malvern, AR 72104-2607 Ph: (501) 332-4400	Courtney Bacon-latina, LPC 829 Halbert St, Malvern, AR 72104-2607 Ph: (501) 332-4400

Reviews and Comments

Counselor in Malvern, AR

Yvonne S Cook, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1615 Martin Luther King Blvd., Malvern, AR 72104 Phone: 501-620-5231 Fax: 501-620-5203
Jason Engle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 E Page Ave, Malvern, AR 72104 Phone: 501-337-5600 Fax: 501-337-5603
Laura Hendershott, RN BSN Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 870-557-3238
Kimberly Ann Boogaerts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400
Laporschia Green, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400
Kayla Burnett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400 Fax: 501-332-4403
William Chad Langford, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1615 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-332-5236

Courtney Bacon-latina, LPC - Medicare Counselor in Malvern, AR