Mary Kelly Moore Lackey, in Elk City, OK - Medicare Counselor Provider

Mary Kelly Moore Lackey, is a medicare enrolled "Counselor - Professional" provider in Elk City, Oklahoma. Her current practice location is 3080 W 3rd St, Elk City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 424-7711.

Mary Kelly Moore Lackey is licensed to practice in * (Not Available) (license number ) 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 1326200437.

Contact Information

	Mary Kelly Moore Lackey,
	3080 W 3rd St, Elk City, OK 73644-4323
	(405) 424-7711
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Kelly Moore Lackey
Gender	Female
Speciality	Counselor - Professional
Location	3080 W 3rd St, Elk City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326200437
Provider Enumeration Date: 06/30/2008
Last Update Date: 12/07/2022

Medicare PECOS Information:

PECOS PAC ID: 1052761038
Enrollment ID: I20240103002599

Medical Identifiers

Medical identifiers for Mary Kelly Moore Lackey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326200437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	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 Kelly Moore Lackey allows following entities to bill medicare on her behalf.

Entity Name	Oklahoma Mental Health Council
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275574907 PECOS PAC ID: 3173514387 Enrollment ID: O20040518001034

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 Kelly Moore Lackey 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 Kelly Moore Lackey, Po Box 99, Thomas, OK 73669-0099 Ph: (806) 613-4885	Mary Kelly Moore Lackey, 3080 W 3rd St, Elk City, OK 73644-4323 Ph: (405) 424-7711

Reviews and Comments

Counselor in Elk City, OK

Tiffany Kamile Mendez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3080 W 3rd St, Elk City, OK 73644 Phone: 580-225-5136
Andle Temple, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3080 W 3rd St, Elk City, OK 73644 Phone: 580-225-5136 Fax: 580-225-5138
Dodie Jane Mcintyre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 S Monroe St, Elk City, OK 73644 Phone: 580-729-0422
Miss Randi Dawn Boyer, B.S.W., BHRS, CM-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 3080 W 3rd St, Elk City, OK 73644 Phone: 580-225-5136 Fax: 580-225-5138
Mary F Parkhurst, LPC LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1021 E Highway 66, Elk City, OK 73644 Phone: 580-225-4337 Fax: 580-225-4338
Ms. Peggy S Puckett, MS, LPC-CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 W Broadway Ave, Elk City, OK 73644 Phone: 580-774-2418
Tracy Ann Castanon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3080 W 3rd St, Elk City, OK 73644 Phone: 580-225-5136 Fax: 580-225-5138

Mary Kelly Moore Lackey, - Medicare Counselor in Elk City, OK