Kristy G Robertson, P-LPC in Vicksburg, MS - Medicare Counselor Provider

Kristy G Robertson, P-LPC is a medicare enrolled "Counselor" provider in Vicksburg, Mississippi. Her current practice location is 1414 Cherry St, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 636-5703.

Kristy G Robertson is licensed to practice in Mississippi (license number P-0859) 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 1811683501.

Contact Information

	Kristy G Robertson, P-LPC
	1414 Cherry St, Vicksburg, MS 39180-3218
	(601) 636-5703
	(769) 230-3039

Map and Direction

Healthcare Provider's Profile

Full Name	Kristy G Robertson
Gender	Female
Speciality	Counselor
Location	1414 Cherry St, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811683501
Provider Enumeration Date: 04/14/2023
Last Update Date: 04/14/2023

Medicare PECOS Information:

PECOS PAC ID: 8729507033
Enrollment ID: I20250529001474

Medical Identifiers

Medical identifiers for Kristy G Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811683501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	P-0859 (Mississippi)	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 G Robertson allows following entities to bill medicare on her behalf.

Entity Name	Family Coaching Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730869892 PECOS PAC ID: 9638618416 Enrollment ID: O20240823002883

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 G Robertson 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 G Robertson, P-LPC 1414 Cherry St, Vicksburg, MS 39180-3218 Ph: (601) 636-5703	Kristy G Robertson, P-LPC 1414 Cherry St, Vicksburg, MS 39180-3218 Ph: (601) 636-5703

Reviews and Comments

Counselor in Vicksburg, MS

Kaila Virgil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3334 Wisconsin Ave., Vicksburg, MS 39180 Phone: 601-638-0031
Tiffany Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Felicia Wilson, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Heather Potts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Rosalyn Glascoe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Ann Nelson, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Mr. Walter Lee Frazier, MCP, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1414 Cherry St, Vicksburg, MS 39180 Phone: 601-636-5703 Fax: 601-636-5739

Kristy G Robertson, P-LPC - Medicare Counselor in Vicksburg, MS