Mr Keith L Evans Jr, LPC is a medicare enrolled "Counselor - Professional" provider in Berwick, Pennsylvania. He graduated from healthcare school in 2005 and has 21 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is
62 Village Ln, Berwick, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 764-6444.
Mr Keith L Evans Jr is licensed to practice in Pennsylvania (license number PC006020) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508116971.
Healthcare Provider's Profile
| Full Name | Mr Keith L Evans Jr |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 21 Years |
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| Location | 62 Village Ln, Berwick, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Keith L Evans Jr graduated from medical school in 2005
NPI Data:
- NPI Number: 1508116971
- Provider Enumeration Date: 09/13/2012
- Last Update Date: 01/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608383419
- Enrollment ID: I20250728001144
Medical Identifiers
Medical identifiers for Mr Keith L Evans Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508116971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | PC006020 (Pennsylvania) | 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 Keith L Evans Jr allows following entities to bill medicare on his behalf.
| Entity Name | Harbor of Hope Counseling, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306196779 PECOS PAC ID: 3173030988 Enrollment ID: O20250728001088 |
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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 Keith L Evans Jr 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 Keith L Evans Jr, LPC 62 Village Ln, Berwick, PA 18603-5741 Ph: (570) 764-6444 | Mr Keith L Evans Jr, LPC 62 Village Ln, Berwick, PA 18603-5741 Ph: (570) 764-6444 |
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