Kelley F Everson, LPC in Janesville, WI - Medicare Mental Health Counselor Provider

Kelley F Everson, LPC is a medicare enrolled "Counselor - Professional" provider in Janesville, Wisconsin. She graduated from healthcare school in 2004 and has 22 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Stateline Mental Health Services and her current practice location is 17 S River St, 254, Janesville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 755-5260.

Kelley F Everson is licensed to practice in Wisconsin (license number 4673-125) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053685602.

Contact Information

	Kelley F Everson, LPC
	17 S River St, 254, Janesville, WI 53548-3860
	(608) 755-5260
	(608) 755-5267

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley F Everson
Gender	Female
Speciality	Mental Health Counselor
Experience	22 Years
Location	17 S River St, Janesville, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelley F Everson graduated from medical school in 2004

NPI Data:

NPI Number: 1053685602
Provider Enumeration Date: 02/29/2012
Last Update Date: 02/29/2012

Medicare PECOS Information:

PECOS PAC ID: 1355793795
Enrollment ID: I20240122001002

Medical Identifiers

Medical identifiers for Kelley F Everson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053685602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4673-125 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stateline Mental Health Services	1658655865	13

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. Kelley F Everson allows following entities to bill medicare on her behalf.

Entity Name	Stateline Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538560255 PECOS PAC ID: 1658655865 Enrollment ID: O20170308001000

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. Kelley F Everson 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
Kelley F Everson, LPC 17 S River St, 254, Janesville, WI 53548-3860 Ph: (608) 755-5260	Kelley F Everson, LPC 17 S River St, 254, Janesville, WI 53548-3860 Ph: (608) 755-5260

Reviews and Comments

Counselor in Janesville, WI

Michael G Braun, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4502
Maria Wiegand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Center Ave Ste 170, Janesville, WI 53546 Phone: 608-352-9701
Kamela D. Cisneros, Counselor Medicare: Accepting Medicare Assignments Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 Fax: 608-756-0174
Carol Ann Ward, LPC,NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1519 Primrose Ln, Janesville, WI 53545 Phone: 608-752-7255 Fax: 608-752-6942
Ms. Christina Renee Mcginn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-847-7575
Tamra J Oman, CFT 14379130 Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Lane, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4516
Jayme St. John, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 S Franklin St, Janesville, WI 53548 Phone: 608-757-5625

Kelley F Everson, LPC - Medicare Counselor in Janesville, WI