Mr Cody Lee Carlson, LPC in Idaho Falls, ID - Medicare Counselor Provider

Mr Cody Lee Carlson, LPC is a medicare enrolled "Counselor - Professional" provider in Idaho Falls, Idaho. His current practice location is 2275 W Broadway St Ste G, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 524-7400.

Mr Cody Lee Carlson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790262871.

Contact Information

	Mr Cody Lee Carlson, LPC
	2275 W Broadway St Ste G, Idaho Falls, ID 83402-2902
	(208) 524-7400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Cody Lee Carlson
Gender	Male
Speciality	Counselor - Professional
Location	2275 W Broadway St Ste G, 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: 1790262871
Provider Enumeration Date: 07/23/2018
Last Update Date: 07/23/2018

Medicare PECOS Information:

PECOS PAC ID: 3375071517
Enrollment ID: I20250115001991

Medical Identifiers

Medical identifiers for Mr Cody Lee Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790262871	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. Mr Cody Lee Carlson allows following entities to bill medicare on his behalf.

Entity Name	Tueller Counseling Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477766905 PECOS PAC ID: 0547585895 Enrollment ID: O20150210000176

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. Mr Cody Lee Carlson 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
Mr Cody Lee Carlson, LPC 4730 Davis Cir, Iona, ID 83427-5501 Ph: (208) 709-6360	Mr Cody Lee Carlson, LPC 2275 W Broadway St Ste G, Idaho Falls, ID 83402-2902 Ph: (208) 524-7400

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
Kelsey Lynn Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401 Phone: 208-524-4818 Fax: 208-522-6630
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447
Mckenzie Leigh Duncan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1262 E 17th St, Idaho Falls, ID 83404 Phone: 208-346-0688 Fax: 208-620-3027
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: Medicare Enrolled Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727

Mr Cody Lee Carlson, LPC - Medicare Counselor in Idaho Falls, ID