Lyndsey Michelle Wideman, MA,LCPC in Carbondale, IL

Lyndsey Michelle Wideman, MA,LCPC is a medicare enrolled "Counselor - Professional" provider in Carbondale, Illinois. Her current practice location is 2311 S Illinois Ave, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 457-6703.

Lyndsey Michelle Wideman is licensed to practice in Illinois (license number 180.015448) 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 1487287835.

Contact Information

	Lyndsey Michelle Wideman, MA,LCPC
	2311 S Illinois Ave, Carbondale, IL 62903-5912
	(618) 457-6703
	(618) 549-3734

Map and Direction

Healthcare Provider's Profile

Full Name	Lyndsey Michelle Wideman
Gender	Female
Speciality	Counselor - Professional
Location	2311 S Illinois Ave, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487287835
Provider Enumeration Date: 02/13/2020
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5597115006
Enrollment ID: I20231226001002

Medical Identifiers

Medical identifiers for Lyndsey Michelle Wideman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487287835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.015448 (Illinois)	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. Lyndsey Michelle Wideman allows following entities to bill medicare on her behalf.

Entity Name	Centerstone Of Illinois Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053455667 PECOS PAC ID: 2961545173 Enrollment ID: O20100209000763

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. Lyndsey Michelle Wideman 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
Lyndsey Michelle Wideman, MA,LCPC 902 W Main St, West Frankfort, IL 62896-2210 Ph: (618) 937-6483	Lyndsey Michelle Wideman, MA,LCPC 2311 S Illinois Ave, Carbondale, IL 62903-5912 Ph: (618) 457-6703

Reviews and Comments

Counselor in Carbondale, IL

Mr. Dave Scott Evans, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 East College, Carbondale, IL 62901 Phone: 618-457-6703 Fax: 618-529-4563
Ms. Melissa Cauthen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1016 S Emerald Ln, Carbondale, IL 62901 Phone: 618-559-6346
Poorva Talapatra, M.ED., LCPC Counselor Medicare: Medicare Enrolled Practice Location: 400 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9900 Fax: 618-529-1384
Levi Wampler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-615-9754
Anna Hughes, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-549-3734
Lindsay Miller, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 101 S Wall St, Carbondale, IL 62901 Phone: 618-519-9200 Fax: 618-519-9404
Ms. Jane Kidwell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Albany Rd, Suite E, Carbondale, IL 62903 Phone: 618-241-2128 Fax: 618-241-3848

Lyndsey Michelle Wideman, MA,LCPC - Medicare Counselor in Carbondale, IL