Kim Alexander Nelson, MS, LPC in Middleton, ID

Kim Alexander Nelson, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Middleton, Idaho. His current practice location is 22480 Duff Ln, Middleton, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 800-2758.

Kim Alexander Nelson is licensed to practice in Idaho (license number LCPC-6361) 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 1275085433.

Contact Information

	Kim Alexander Nelson, MS, LPC
	22480 Duff Ln, Middleton, ID 83644-6041
	(208) 800-2758
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kim Alexander Nelson
Gender	Male
Speciality	Counselor - Professional
Location	22480 Duff Ln, Middleton, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275085433
Provider Enumeration Date: 11/03/2016
Last Update Date: 05/10/2021

Medicare PECOS Information:

PECOS PAC ID: 4587004205
Enrollment ID: I20240603001757

Medical Identifiers

Medical identifiers for Kim Alexander Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275085433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-6027 (Idaho)	Secondary
101YP2500X	Counselor - Professional	LCPC-6361 (Idaho)	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. Kim Alexander Nelson allows following entities to bill medicare on his behalf.

Entity Name	Stillwater Connection
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457867962 PECOS PAC ID: 0941640668 Enrollment ID: O20240429002295

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. Kim Alexander Nelson 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
Kim Alexander Nelson, MS, LPC 22480 Duff Ln, Middleton, ID 83644-6041 Ph: (208) 800-2758	Kim Alexander Nelson, MS, LPC 22480 Duff Ln, Middleton, ID 83644-6041 Ph: (208) 800-2758

Reviews and Comments

Counselor in Middleton, ID

Stephanie Lee Lefavour, COUI Counselor Medicare: Not Enrolled in Medicare Practice Location: 22480 Duff Ln, Middleton, ID 83644 Phone: 208-965-4502
Angela Sillito, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 672 Fairhaven, Middleton, ID 83644 Phone: 509-449-1555
Angela Baird Hepworth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25612 Kingsbury Rd, Middleton, ID 83644 Phone: 208-870-2069
Brandi Bechtel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 S Middleton Rd, Middleton, ID 83644 Phone: 208-683-8320
Karie Ann Rose, COUI Counselor Medicare: Not Enrolled in Medicare Practice Location: 22480 Duff Ln, Middleton, ID 83644 Phone: 208-965-4502
Mr. Lew House, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 W Main St, Middleton, ID 83644 Phone: 208-697-1915

Kim Alexander Nelson, MS, LPC - Medicare Counselor in Middleton, ID