Ms Kelly Leigh Pedersen, LPC in Lakeway, TX - Medicare Counselor Provider

Ms Kelly Leigh Pedersen, LPC is a medicare enrolled "Counselor - Professional" provider in Lakeway, Texas. Her current practice location is 317 Copperleaf Rd, Lakeway, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 963-3660.

Ms Kelly Leigh Pedersen is licensed to practice in Texas (license number 20301) 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 1497872493.

Contact Information

	Ms Kelly Leigh Pedersen, LPC
	317 Copperleaf Rd, Lakeway, TX 78734-4246
	(512) 963-3660
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kelly Leigh Pedersen
Gender	Female
Speciality	Counselor - Professional
Location	317 Copperleaf Rd, Lakeway, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497872493
Provider Enumeration Date: 03/23/2007
Last Update Date: 06/12/2022

Medicare PECOS Information:

PECOS PAC ID: 8123471398
Enrollment ID: I20240124003518

Medical Identifiers

Medical identifiers for Ms Kelly Leigh Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497872493	NPI	-	NPPES
1814584-01	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	20301 (Texas)	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. Ms Kelly Leigh Pedersen allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210706003672

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. Ms Kelly Leigh Pedersen 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
Ms Kelly Leigh Pedersen, LPC 317 Copperleaf Rd, Lakeway, TX 78734-4246 Ph: (512) 963-3660	Ms Kelly Leigh Pedersen, LPC 317 Copperleaf Rd, Lakeway, TX 78734-4246 Ph: (512) 963-3660

Reviews and Comments

Counselor in Lakeway, TX

Jill Fenner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Lakeway Dr Ste 10, Lakeway, TX 78734 Phone: 512-477-5445
Mark Wigginton, MS,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 Crest View Dr, Lakeway, TX 78734 Phone: 512-297-4654
Colleen Jensen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Rr 620 S Ste 202, Lakeway, TX 78734 Phone: 909-286-3777
Linda Wisner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 Hurst Creek Rd, Lakeway, TX 78734 Phone: 512-940-5052
Jeannette Sue Gastineau, MA, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Dr, Lakeway, TX 78734 Phone: 512-759-6438
Carly Stout, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Flamingo Blvd, Lakeway, TX 78734 Phone: 830-370-8788
Shanaz Ikonne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1021 Ranch Road 620 S Ste B, Lakeway, TX 78734 Phone: 469-626-9085

Ms Kelly Leigh Pedersen, LPC - Medicare Counselor in Lakeway, TX