Kristy Ann Pendleton, LCSW in Idaho Falls, ID

Kristy Ann Pendleton, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Idaho Falls, Idaho. Her current practice location is 1301 E 17th St, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 538-3122.

Kristy Ann Pendleton is licensed to practice in Idaho (license number LCSW-34365) 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 1659797090.

Contact Information

	Kristy Ann Pendleton, LCSW
	1301 E 17th St, Idaho Falls, ID 83404-6273
	(208) 538-3122
	(208) 881-5295

Map and Direction

Healthcare Provider's Profile

Full Name	Kristy Ann Pendleton
Gender	Female
Speciality	Counselor - Mental Health
Location	1301 E 17th St, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659797090
Provider Enumeration Date: 03/10/2014
Last Update Date: 12/03/2020

Medicare PECOS Information:

PECOS PAC ID: 6709184518
Enrollment ID: I20160816000424

Medical Identifiers

Medical identifiers for Kristy Ann Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659797090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LCSW-34365 (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. Kristy Ann Pendleton allows following entities to bill medicare on her behalf.

Entity Name	Luke & Spencer Behavioral Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427834571 PECOS PAC ID: 5092167940 Enrollment ID: O20240117000890

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. Kristy Ann Pendleton 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
Kristy Ann Pendleton, LCSW 3656 E Vision Dr, Idaho Falls, ID 83401-5045 Ph: (208) 313-7449	Kristy Ann Pendleton, LCSW 1301 E 17th St, Idaho Falls, ID 83404-6273 Ph: (208) 538-3122

Reviews and Comments

Counselor in Idaho Falls, ID

Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352
Kelsey Lynn Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401 Phone: 208-524-4818 Fax: 208-522-6630
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447
Mckenzie Leigh Duncan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1262 E 17th St, Idaho Falls, ID 83404 Phone: 208-346-0688 Fax: 208-620-3027
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712
Jennie R Nelson, Counselor Medicare: Medicare Enrolled Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727

Kristy Ann Pendleton, LCSW - Medicare Counselor in Idaho Falls, ID