Fae M Epaloose, LPCC in Gallup, NM - Medicare Counselor Provider

Fae M Epaloose, LPCC is a medicare enrolled "Counselor - Professional" provider in Gallup, New Mexico. Her current practice location is 2025 E Aztec Ave, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 633-8288.

Fae M Epaloose is licensed to practice in New Mexico (license number CCMH0135721) 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 1841460664.

Contact Information

	Fae M Epaloose, LPCC
	2025 E Aztec Ave, Gallup, NM 87301-4803
	(505) 633-8288
	(505) 443-4345

Map and Direction

Healthcare Provider's Profile

Full Name	Fae M Epaloose
Gender	Female
Speciality	Counselor - Professional
Location	2025 E Aztec Ave, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841460664
Provider Enumeration Date: 03/07/2008
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 2769904259
Enrollment ID: I20250313001543

Medical Identifiers

Medical identifiers for Fae M Epaloose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841460664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CCMH0135721 (New Mexico)	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. Fae M Epaloose allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414

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. Fae M Epaloose 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
Fae M Epaloose, LPCC 2025 E Aztec Ave, Gallup, NM 87301-4803 Ph: (058) 633-8285	Fae M Epaloose, LPCC 2025 E Aztec Ave, Gallup, NM 87301-4803 Ph: (505) 633-8288

Reviews and Comments

Counselor in Gallup, NM

Tammy Tsosie, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828
Ms. Elouise Blackgoat, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Nizhoni Blvd Ste A, Gallup, NM 87301 Phone: 505-722-9470 Fax: 505-722-9570
Ms. Vera D John, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Nizhoni Blvd, Suite A, Gallup, NM 87301 Phone: 505-722-9470 Fax: 505-722-9570
Dr. Audni Genevieve Miller, PH. D. LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 S Puerco Dr, Gallup, NM 87301 Phone: 505-863-3828
Linda C. Kerth, PH.D., M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 S 1st St, Connections, Inc. Attn Linda Kerth, Gallup, NM 87301 Phone: 505-862-7080 Fax: 505-722-9870
Ms. Kristin M Himmler, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2025 E Aztec, Gallup, NM 87301 Phone: 484-888-5964
Theron Robert Nicholson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-443-8345

Fae M Epaloose, LPCC - Medicare Counselor in Gallup, NM