Mrs Kelli Jean Fairris, MSE, LPC in Prescott, AR

Mrs Kelli Jean Fairris, MSE, LPC is a medicare enrolled "Counselor - Professional" provider in Prescott, Arkansas. Her current practice location is 1658 Us Highway 371, Prescott, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 887-3660.

Mrs Kelli Jean Fairris is licensed to practice in Arkansas (license number P1011073) 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 1326220856.

Contact Information

	Mrs Kelli Jean Fairris, MSE, LPC
	1658 Us Highway 371, Prescott, AR 71857-7064
	(870) 887-3660
	(870) 887-3705

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelli Jean Fairris
Gender	Female
Speciality	Counselor - Professional
Location	1658 Us Highway 371, Prescott, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326220856
Provider Enumeration Date: 11/27/2007
Last Update Date: 02/05/2015

Medicare PECOS Information:

PECOS PAC ID: 0042661670
Enrollment ID: I20240109000673

Medical Identifiers

Medical identifiers for Mrs Kelli Jean Fairris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326220856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P1011073 (Arkansas)	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 Kelli Jean Fairris allows following entities to bill medicare on her behalf.

Entity Name	Delta Counseling Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053364612 PECOS PAC ID: 1850377508 Enrollment ID: O20040624001643

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 Kelli Jean Fairris 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 Kelli Jean Fairris, MSE, LPC 1658 Us Highway 371, Po Box 357, Prescott, AR 71857-7064 Ph: (870) 887-3660	Mrs Kelli Jean Fairris, MSE, LPC 1658 Us Highway 371, Prescott, AR 71857-7064 Ph: (870) 887-3660

Reviews and Comments

Counselor in Prescott, AR

Twanna Rochelle Martin Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1484 W 1st St N, Prescott, AR 71857 Phone: 870-887-1078 Fax: 870-887-0281
Mrs. Johnna Lynn Quinn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1484 W 1st St N, Prescott, AR 71857 Phone: 870-887-1078 Fax: 870-887-0281
Erica Lee Morgan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1484 W 1st St N, Prescott, AR 71857 Phone: 870-887-1078 Fax: 870-887-0281

Mrs Kelli Jean Fairris, MSE, LPC - Medicare Counselor in Prescott, AR