Ms Thea Kaitlynne Bohannon, MS, LMHC in Carthage, NY

Ms Thea Kaitlynne Bohannon, MS, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Carthage, New York. Her current practice location is 3 Bridge St, Carthage, New York. You can reach out to her office (for appointments etc.) via phone at (315) 493-3300.

Ms Thea Kaitlynne Bohannon is licensed to practice in New York (license number 008393) 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 1174907828.

Contact Information

	Ms Thea Kaitlynne Bohannon, MS, LMHC
	3 Bridge St, Carthage, NY 13619-1360
	(315) 493-3300
	(315) 493-3306

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Thea Kaitlynne Bohannon
Gender	Female
Speciality	Counselor - Mental Health
Location	3 Bridge St, Carthage, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174907828
Provider Enumeration Date: 07/13/2015
Last Update Date: 05/04/2021

Medicare PECOS Information:

PECOS PAC ID: 4981044997
Enrollment ID: I20240424001960

Medical Identifiers

Medical identifiers for Ms Thea Kaitlynne Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174907828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	008393 (New York)	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 Thea Kaitlynne Bohannon allows following entities to bill medicare on her behalf.

Entity Name	Carthage Area Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856

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 Thea Kaitlynne Bohannon 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 Thea Kaitlynne Bohannon, MS, LMHC 3 Bridge St, Carthage, NY 13619-1360 Ph: (315) 493-3300	Ms Thea Kaitlynne Bohannon, MS, LMHC 3 Bridge St, Carthage, NY 13619-1360 Ph: (315) 493-3300

Reviews and Comments

Counselor in Carthage, NY

Michele White, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge Street, Bh Clinic, Carthage, NY 13619 Phone: 315-493-3300 Fax: 315-493-3306
Ms. Jeri Lynn Gray, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 21986 Cole Rd, Carthage, NY 13619 Phone: 315-493-5020
Debra Lou Clark, LMHC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-3300 Fax: 315-493-3306
Eleanor L Shoup, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35552 State Route 3 Apt 3, Carthage, NY 13619 Phone: 585-261-8968
Cheyenne A Merry, LMHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-3300 Fax: 315-493-3306
Ms. Sue Ellen Kelley, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-3300 Fax: 315-493-3306

Ms Thea Kaitlynne Bohannon, MS, LMHC - Medicare Counselor in Carthage, NY