Mrs Lori Ann Wilson, LPC in De Witt, AR - Medicare Counselor Provider

Mrs Lori Ann Wilson, LPC is a medicare enrolled "Counselor - Professional" provider in De Witt, Arkansas. Her current practice location is 1940 S Whitehead Dr, De Witt, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 946-4505.

Mrs Lori Ann Wilson is licensed to practice in Arkansas (license number P2503023) 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 1699499111.

Contact Information

	Mrs Lori Ann Wilson, LPC
	1940 S Whitehead Dr, De Witt, AR 72042-2906
	(870) 946-4505
	(870) 946-3357

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lori Ann Wilson
Gender	Female
Speciality	Counselor - Professional
Location	1940 S Whitehead Dr, De Witt, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699499111
Provider Enumeration Date: 09/28/2022
Last Update Date: 09/10/2025

Medicare PECOS Information:

PECOS PAC ID: 3779092242
Enrollment ID: I20250604004433

Medical Identifiers

Medical identifiers for Mrs Lori Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699499111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P2503023 (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 Lori Ann Wilson allows following entities to bill medicare on her behalf.

Entity Name	Mid-delta Health Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255346060 PECOS PAC ID: 3870574668 Enrollment ID: O20040527000492

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 Lori Ann Wilson 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 Lori Ann Wilson, LPC 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381	Mrs Lori Ann Wilson, LPC 1940 S Whitehead Dr, De Witt, AR 72042-2906 Ph: (870) 946-4505

Reviews and Comments

Counselor in De Witt, AR

Helen Jennings-hood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 S Jefferson St, De Witt, AR 72042 Phone: 870-946-8303 Fax: 870-946-8217
Ashtyn Brooke Beck, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1718 S Grandview Dr, De Witt, AR 72042 Phone: 870-946-4651

Mrs Lori Ann Wilson, LPC - Medicare Counselor in De Witt, AR