Lettie Stradley-bass, LCPC-8478 in Idaho Falls, ID

Lettie Stradley-bass, LCPC-8478 is a medicare enrolled "Counselor - Mental Health" provider in Idaho Falls, Idaho. Her current practice location is 9915 N 26th E, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 521-8389.

Lettie Stradley-bass is licensed to practice in Idaho (license number 7198) 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 1043869142.

Contact Information

	Lettie Stradley-bass, LCPC-8478
	9915 N 26th E, Idaho Falls, ID 83401-6435
	(208) 521-8389
	(208) 271-8882

Map and Direction

Healthcare Provider's Profile

Full Name	Lettie Stradley-bass
Gender	Female
Speciality	Counselor - Mental Health
Location	9915 N 26th E, 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: 1043869142
Provider Enumeration Date: 09/10/2019
Last Update Date: 06/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0840635223
Enrollment ID: I20240226000243

Medical Identifiers

Medical identifiers for Lettie Stradley-bass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043869142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	7198 (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. Lettie Stradley-bass allows following entities to bill medicare on her behalf.

Entity Name	Pearl Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447426465 PECOS PAC ID: 0840356077 Enrollment ID: O20090312000617

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. Lettie Stradley-bass 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
Lettie Stradley-bass, LCPC-8478 9915 N 26th E, Idaho Falls, ID 83401-6435 Ph: (208) 201-4510	Lettie Stradley-bass, LCPC-8478 9915 N 26th E, Idaho Falls, ID 83401-6435 Ph: (208) 521-8389

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
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447
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: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727
Mr. Richard A Troyer, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3760 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-524-4953 Fax: 208-524-7335
Kirk Thiemann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727

Lettie Stradley-bass, LCPC-8478 - Medicare Counselor in Idaho Falls, ID