Mr Walter Lee Frazier, MCP, LPC, NCC in Vicksburg, MS

Mr Walter Lee Frazier, MCP, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in Vicksburg, Mississippi. His current practice location is 1414 Cherry St, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 636-5703.

Mr Walter Lee Frazier is licensed to practice in Mississippi (license number 0779) 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 1033168299.

Contact Information

	Mr Walter Lee Frazier, MCP, LPC, NCC
	1414 Cherry St, Vicksburg, MS 39180-3218
	(601) 636-5703
	(601) 636-5739

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Walter Lee Frazier
Gender	Male
Speciality	Counselor - Professional
Location	1414 Cherry St, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033168299
Provider Enumeration Date: 05/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9133125354
Enrollment ID: I20240325000428

Medical Identifiers

Medical identifiers for Mr Walter Lee Frazier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033168299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0779 (Mississippi)	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 Walter Lee Frazier allows following entities to bill medicare on his behalf.

Entity Name	Grace Christian Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447295654 PECOS PAC ID: 0749285070 Enrollment ID: O20240130002733

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 Walter Lee Frazier 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 Walter Lee Frazier, MCP, LPC, NCC 1414 Cherry St, Vicksburg, MS 39180-3218 Ph: (601) 636-5703	Mr Walter Lee Frazier, MCP, LPC, NCC 1414 Cherry St, Vicksburg, MS 39180-3218 Ph: (601) 636-5703

Reviews and Comments

Counselor in Vicksburg, MS

Kaila Virgil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3334 Wisconsin Ave., Vicksburg, MS 39180 Phone: 601-638-0031
Tiffany Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Felicia Wilson, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950
Heather Potts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Rosalyn Glascoe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Ann Nelson, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-638-4950

Mr Walter Lee Frazier, MCP, LPC, NCC - Medicare Counselor in Vicksburg, MS