Dr Brent C Potter, in Spokane, WA - Medicare Counselor Provider

Dr Brent C Potter, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Spokane, Washington. His current practice location is 1101 W College Ave, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 324-1420.

Dr Brent C Potter is licensed to practice in Washington (license number CP60721362) 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 1174636500.

Contact Information

	Dr Brent C Potter,
	1101 W College Ave, Spokane, WA 99201-2010
	(509) 324-1420
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brent C Potter
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1101 W College Ave, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174636500
Provider Enumeration Date: 08/17/2006
Last Update Date: 06/24/2021

Medicare PECOS Information:

PECOS PAC ID: 1557806718
Enrollment ID: I20240711002620

Medical Identifiers

Medical identifiers for Dr Brent C Potter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174636500	NPI	-	NPPES
1020986	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH00007704 (Washington)	Secondary
103TC0700X	Psychologist - Clinical	2012832 (California)	Secondary
101YP2500X	Counselor - Professional	LH0007704 (Washington)	Secondary
103TC0700X	Psychologist - Clinical	LH00007704 (Washington)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	CP60721362 (Washington)	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. Dr Brent C Potter allows following entities to bill medicare on his behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Dr Brent C Potter 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
Dr Brent C Potter, Po Box 528, Bethel, AK 99559-0528 Ph: (970) 543-6100	Dr Brent C Potter, 1101 W College Ave, Spokane, WA 99201-2010 Ph: (509) 324-1420

Reviews and Comments

Counselor in Spokane, WA

Ashlee Guckel, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Howard St Ste R, Spokane, WA 99201 Phone: 971-910-3182
Michael Robert Sullivan, MSW Counselor Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651
Simonne Marie Crooks, BA, SUDP, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 S Thor St, Spokane, WA 99202 Phone: 509-532-2000 Fax: 509-532-2005
Sandra Kay Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 Phone: 509-838-6092
Laura Ann Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 Fax: 509-326-5025
Desiree Brooke Johnson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 E 3rd Ave, Spokane, WA 99202 Phone: 509-838-4651
Kimberly Atkins, CASE MANAGER Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800

Dr Brent C Potter, - Medicare Counselor in Spokane, WA