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

Kelley F Everson, LPC is a medicare enrolled "Counselor - Professional" provider in Janesville, Wisconsin. 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 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 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	Counselor - Professional
Location	17 S River St, Janesville, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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

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
Kamela D. Cisneros, Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 Fax: 608-756-0174
Carol Ann Ward, LPC,NCC Counselor Medicare: Medicare Enrolled 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
Rebecca L Davis, LPC-IT, SAC Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6530 Fax: 608-756-6564

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