Keenyn Wald, LPC in Columbus, MS - Medicare Counselor Provider

Keenyn Wald, LPC is a medicare enrolled "Counselor - Mental Health" provider in Columbus, Mississippi. His current practice location is 1011 Main St, Columbus, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 327-7916.

Keenyn Wald is licensed to practice in Mississippi (license number 1834) 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 1710598255.

Contact Information

	Keenyn Wald, LPC
	1011 Main St, Columbus, MS 39701-4751
	(662) 327-7916
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keenyn Wald
Gender	Male
Speciality	Counselor - Mental Health
Location	1011 Main St, Columbus, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710598255
Provider Enumeration Date: 08/10/2020
Last Update Date: 10/15/2020

Medicare PECOS Information:

PECOS PAC ID: 7315389988
Enrollment ID: I20240528003307

Medical Identifiers

Medical identifiers for Keenyn Wald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710598255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	1834 (Mississippi)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	1834 (Mississippi)	Secondary

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. Keenyn Wald allows following entities to bill medicare on his behalf.

Entity Name	Region Seven Mental Health Intellectual Disabilities Comm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700894730 PECOS PAC ID: 3072531953 Enrollment ID: O20051109000565

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. Keenyn Wald 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
Keenyn Wald, LPC 302 N Jackson St, Starkville, MS 39759-2504 Ph: (662) 327-7916	Keenyn Wald, LPC 1011 Main St, Columbus, MS 39701-4751 Ph: (662) 327-7916

Reviews and Comments

Counselor in Columbus, MS

Jacquelynn P Miskel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 Bluecutt Rd Ste 201, Columbus, MS 39705 Phone: 662-434-4210
Sharon Bell, MS Counselor Medicare: Medicare Enrolled Practice Location: 1001 Main St, Columbus, MS 39701 Phone: 662-328-9225 Fax: 662-328-4735
John Mcmahon, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Columbus, MS 39701 Phone: 662-328-9225 Fax: 662-328-4735
Quintara A Reese, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2623 5th St N, Columbus, MS 39705 Phone: 662-241-7091
Shanta Newby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 24th Ave N, Columbus, MS 39705 Phone: 662-241-7097
Akedra Ross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2623 5th St N, Columbus, MS 39705 Phone: 662-241-7097
Emily Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Main St, Columbus, MS 39701 Phone: 662-327-7916

Keenyn Wald, LPC - Medicare Counselor in Columbus, MS