Mrs Edie Diane Grizzle, LPC, LMAC in Concordia, KS

Mrs Edie Diane Grizzle, LPC, LMAC is a medicare enrolled "Counselor - Professional" provider in Concordia, Kansas. Her current practice location is 210 W 21st St, Concordia, Kansas. You can reach out to her office (for appointments etc.) via phone at (785) 243-8900.

Mrs Edie Diane Grizzle is licensed to practice in Kansas (license number 2397) 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 1841550183.

Contact Information

	Mrs Edie Diane Grizzle, LPC, LMAC
	210 W 21st St, Concordia, KS 66901-5200
	(785) 243-8900
	(785) 243-8933

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Edie Diane Grizzle
Gender	Female
Speciality	Counselor - Professional
Location	210 W 21st St, Concordia, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841550183
Provider Enumeration Date: 05/21/2012
Last Update Date: 09/10/2020

Medicare PECOS Information:

PECOS PAC ID: 4284087065
Enrollment ID: I20240129000806

Medical Identifiers

Medical identifiers for Mrs Edie Diane Grizzle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841550183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	020 (Kansas)	Secondary
101YP2500X	Counselor - Professional	2397 (Kansas)	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. Mrs Edie Diane Grizzle allows following entities to bill medicare on her behalf.

Entity Name	Community Pathways Unlimited Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005

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. Mrs Edie Diane Grizzle 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
Mrs Edie Diane Grizzle, LPC, LMAC 425 N Washington St, Junction City, KS 66441-3686 Ph: (785) 236-1178	Mrs Edie Diane Grizzle, LPC, LMAC 210 W 21st St, Concordia, KS 66901-5200 Ph: (785) 243-8900

Reviews and Comments

Counselor in Concordia, KS

James Robert Kerr, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Washington Street, Suite C, Concordia, KS 66901 Phone: 785-243-4164 Fax: 785-243-4164
Amber Lynn Wogomon, LMSW, LMAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W 6th St, Concordia, KS 66901 Phone: 785-560-3101 Fax: 785-527-8317
Jonathan Dominguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 W 21st St, Concordia, KS 66901 Phone: 785-243-8900
Mrs. Patricia L Jackson-istas, LSCSW, LCAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 210 W 21st St, Concordia, KS 66901 Phone: 785-243-8900 Fax: 785-243-8933
Lynell Beth Kallman, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Washington St, Suite C, Concordia, KS 66901 Phone: 785-243-4164 Fax: 785-243-4164
John Sampson, LMLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 W 21st St, Concordia, KS 66901 Phone: 785-243-8900 Fax: 785-243-8933
Matthew R Myers, LSCSW, LMAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 210 W 21st St, Concordia, KS 66901 Phone: 785-243-8900 Fax: 785-243-8933

Mrs Edie Diane Grizzle, LPC, LMAC - Medicare Counselor in Concordia, KS