Kevin Eugene Fraley Jr, LMHC in Pace, FL - Medicare Counselor Provider

Kevin Eugene Fraley Jr, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Pace, Florida. His current practice location is 4453 Highway 90, Pace, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 905-0110.

Kevin Eugene Fraley Jr is licensed to practice in Florida (license number MH21975) 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 1619679644.

Contact Information

	Kevin Eugene Fraley Jr, LMHC
	4453 Highway 90, Pace, FL 32571-2066
	(850) 905-0110
	(850) 905-8600

Map and Direction

Healthcare Provider's Profile

Full Name	Kevin Eugene Fraley Jr
Gender	Male
Speciality	Counselor - Mental Health
Location	4453 Highway 90, Pace, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619679644
Provider Enumeration Date: 03/21/2023
Last Update Date: 03/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5799208757
Enrollment ID: I20250331001945

Medical Identifiers

Medical identifiers for Kevin Eugene Fraley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619679644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH21975 (Florida)	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. Kevin Eugene Fraley Jr allows following entities to bill medicare on his behalf.

Entity Name	Partners Family Medicine Practice & Recovery Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396364899 PECOS PAC ID: 6800213851 Enrollment ID: O20200904001421

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. Kevin Eugene Fraley Jr 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
Kevin Eugene Fraley Jr, LMHC 4453 Highway 90, Pace, FL 32571-2066 Ph: (850) 905-0110	Kevin Eugene Fraley Jr, LMHC 4453 Highway 90, Pace, FL 32571-2066 Ph: (850) 905-0110

Reviews and Comments

Counselor in Pace, FL

Sara Stamm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4493 Woodbine Rd, Pace, FL 32571 Phone: 850-400-3990
Dewey Scott Mayberry, M.A. LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4626 Lori Ln, Pace, FL 32571 Phone: 850-266-3025 Fax: 850-944-9676
Mr. Andrew Clark Boyd, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3819 Luther Fowler Rd, Pace, FL 32571 Phone: 850-602-3533
Kimberly Walker Crow, MSW, MS, CMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 5588 Berry Brook Cir, Pace, FL 32571 Phone: 850-264-7123
Nicole Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4519 Woodbine Rd, Pace, FL 32571 Phone: 850-778-3747
Mr. Victor Scott Lowrimore, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4616 Dean Dr, Pace, FL 32571 Phone: 850-994-4551 Fax: 850-994-4551
Amy Carol Ellis, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5200 Woodbine Rd, Pace, FL 32571 Phone: 850-261-9032 Fax: 850-994-6958

Kevin Eugene Fraley Jr, LMHC - Medicare Counselor in Pace, FL