Mr Kenneth Wayne Freeman Sr, LPC is a medicare enrolled "Counselor - Mental Health" provider in Fountain, Minnesota. He graduated from healthcare school in 2017 and has 9 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is
102 Spruce St Se, Fountain, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 884-2456.
Mr Kenneth Wayne Freeman Sr is licensed to practice in Indiana (license number 39004515A) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1255047981.
Healthcare Provider's Profile
| Full Name | Mr Kenneth Wayne Freeman Sr |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 9 Years |
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| Location | 102 Spruce St Se, Fountain, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Kenneth Wayne Freeman Sr graduated from medical school in 2017
NPI Data:
- NPI Number: 1255047981
- Provider Enumeration Date: 01/26/2023
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729581525
- Enrollment ID: I20250909003396
Medical Identifiers
Medical identifiers for Mr Kenneth Wayne Freeman Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255047981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 02712 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 39004515A (Indiana) | Primary |
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 Kenneth Wayne Freeman Sr 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 Kenneth Wayne Freeman Sr, LPC
102 Spruce St Se,
Fountain, MN 55935-8825
Ph: (507) 884-2456 | Mr Kenneth Wayne Freeman Sr, LPC
102 Spruce St Se,
Fountain, MN 55935-8825
Ph: (507) 884-2456 |
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