Leah Villavicencio, LMHC in Fort Wayne, IN - Medicare Counselor Provider

Leah Villavicencio, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fort Wayne, Indiana. Her current practice location is 9910 Dupont Circle Dr E, Suite 140, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 570-4515.

Leah Villavicencio is licensed to practice in Indiana (license number 39002526A) 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 1548711294.

Contact Information

	Leah Villavicencio, LMHC
	9910 Dupont Circle Dr E, Suite 140, Fort Wayne, IN 46825-1617
	(260) 570-4515
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leah Villavicencio
Gender	Female
Speciality	Counselor - Mental Health
Location	9910 Dupont Circle Dr E, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548711294
Provider Enumeration Date: 10/18/2016
Last Update Date: 10/18/2016

Medicare PECOS Information:

PECOS PAC ID: 7517310881
Enrollment ID: I20240202001440

Medical Identifiers

Medical identifiers for Leah Villavicencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548711294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39002526A (Indiana)	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. Leah Villavicencio allows following entities to bill medicare on her behalf.

Entity Name	Wellhome Psychology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972106599 PECOS PAC ID: 3476965070 Enrollment ID: O20201223000380

Entity Name	Rdr Devine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043828411 PECOS PAC ID: 9931515889 Enrollment ID: O20210301002799

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. Leah Villavicencio 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
Leah Villavicencio, LMHC 5431 Argiano Xing, Fort Wayne, IN 46845-8878 Ph: () -	Leah Villavicencio, LMHC 9910 Dupont Circle Dr E, Suite 140, Fort Wayne, IN 46825-1617 Ph: (260) 570-4515

Reviews and Comments

Counselor in Fort Wayne, IN

Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500
Mrs. Molly Christina Colglazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10102 Woodland Plaza Cv Ste A, Fort Wayne, IN 46825 Phone: 260-240-4200
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778

Leah Villavicencio, LMHC - Medicare Counselor in Fort Wayne, IN