Mary K Evans, LPC, MA in Champaign, IL - Medicare Counselor Provider

Mary K Evans, LPC, MA is a medicare enrolled "Counselor - Professional" provider in Champaign, Illinois. Her current practice location is 2917 Crossing Ct Ste B1, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (970) 690-1646.

Mary K Evans is licensed to practice in Colorado (license number LPC.0015327) 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 1255789632.

Contact Information

	Mary K Evans, LPC, MA
	2917 Crossing Ct Ste B1, Champaign, IL 61822-6185
	(970) 690-1646
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary K Evans
Gender	Female
Speciality	Counselor - Professional
Location	2917 Crossing Ct Ste B1, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255789632
Provider Enumeration Date: 05/26/2016
Last Update Date: 07/07/2025

Medicare PECOS Information:

PECOS PAC ID: 2567992621
Enrollment ID: I20250205002051

Medical Identifiers

Medical identifiers for Mary K Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255789632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.004735 (Illinois)	Secondary
101YP2500X	Counselor - Professional	LPC.0015327 (Colorado)	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. Mary K Evans allows following entities to bill medicare on her behalf.

Entity Name	Vitae Health Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838

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. Mary K Evans 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
Mary K Evans, LPC, MA 2506 Fields South Dr Apt 106, Champaign, IL 61822-3713 Ph: (970) 690-1646	Mary K Evans, LPC, MA 2917 Crossing Ct Ste B1, Champaign, IL 61822-6185 Ph: (970) 690-1646

Reviews and Comments

Counselor in Champaign, IL

Staci Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St, Ste 406, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077
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Jennifer Carleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Devonshire Dr, Champaign, IL 61820 Phone: 217-904-3035
Erica Taylor, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2125 S Neil St, Champaign, IL 61820 Phone: 217-352-0200 Fax: 217-607-1139
Rachel Cooper Brown, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 309 W Clark St, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077
Whitley Tate, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 Windsor Pl Ste A, Champaign, IL 61820 Phone: 217-552-1058 Fax: 855-848-7422

Mary K Evans, LPC, MA - Medicare Counselor in Champaign, IL