Kelsey Jo Bax, in Fort Dodge, IA - Medicare Counselor Provider

Kelsey Jo Bax, is a medicare enrolled "Counselor - Mental Health" provider in Fort Dodge, Iowa. Her current practice location is 720 Kenyon Rd, Fort Dodge, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 955-7171.

Kelsey Jo Bax is licensed to practice in Iowa (license number 121863) 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 1750164992.

Contact Information

	Kelsey Jo Bax,
	720 Kenyon Rd, Fort Dodge, IA 50501-5787
	(515) 955-7171
	(515) 573-7898

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Jo Bax
Gender	Female
Speciality	Counselor - Mental Health
Location	720 Kenyon Rd, Fort Dodge, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750164992
Provider Enumeration Date: 08/14/2023
Last Update Date: 01/09/2026

Medicare PECOS Information:

PECOS PAC ID: 2769832047
Enrollment ID: I20231228002584

Medical Identifiers

Medical identifiers for Kelsey Jo Bax such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750164992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	121863 (Iowa)	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. Kelsey Jo Bax allows following entities to bill medicare on her behalf.

Entity Name	North Central Iowa Mental Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922188606 PECOS PAC ID: 1153210232 Enrollment ID: O20040315000923

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. Kelsey Jo Bax 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
Kelsey Jo Bax, 720 Kenyon Rd, Fort Dodge, IA 50501-5787 Ph: (515) 955-7171	Kelsey Jo Bax, 720 Kenyon Rd, Fort Dodge, IA 50501-5787 Ph: (515) 955-7171

Reviews and Comments

Counselor in Fort Dodge, IA

Tia Hartzler, IADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Avenue M W, Fort Dodge, IA 50501 Phone: 515-576-7261 Fax: 515-955-7652
Rebecca Olson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Central Ave Ste 430, Fort Dodge, IA 50501 Phone: 515-599-1945
Alicia Deane Meldrem, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1506 31st Ave N, Fort Dodge, IA 50501 Phone: 515-576-7261
Katelyn Hofbauer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 Kenyon Rd, Fort Dodge, IA 50501 Phone: 800-482-8305
Emily Anderson, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 720 Kenyon Rd, Fort Dodge, IA 50501 Phone: 800-482-8305 Fax: 515-573-7898
Melissa Donahe, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 726 S 17th St, Fort Dodge, IA 50501 Phone: 800-830-7009
Jeanette Lucille Moss, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Avenue M W, Fort Dodge, IA 50501 Phone: 515-575-7261

Kelsey Jo Bax, - Medicare Counselor in Fort Dodge, IA