Porche Wynn, PHD, LPC in Knoxville, TN - Medicare Counselor Provider

Porche Wynn, PHD, LPC is a medicare enrolled "Counselor - Professional" provider in Knoxville, Tennessee. Her current practice location is 318 N Gay St Ste 210, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 370-7705.

Porche Wynn is licensed to practice in Tennessee (license number 4115) 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 1225268881.

Contact Information

	Porche Wynn, PHD, LPC
	318 N Gay St Ste 210, Knoxville, TN 37917-7515
	(865) 370-7705
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Porche Wynn
Gender	Female
Speciality	Counselor - Professional
Location	318 N Gay St Ste 210, Knoxville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225268881
Provider Enumeration Date: 07/16/2009
Last Update Date: 06/21/2024

Medicare PECOS Information:

PECOS PAC ID: 6800335910
Enrollment ID: I20240903002330

Medical Identifiers

Medical identifiers for Porche Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225268881	NPI	-	NPPES
Q032977	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4115 (Tennessee)	Primary
101YM0800X	Counselor - Mental Health	4115 (Tennessee)	Secondary

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. Porche Wynn allows following entities to bill medicare on her behalf.

Entity Name	Knoxville Leadership Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952176919 PECOS PAC ID: 3173062288 Enrollment ID: O20240903001462

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. Porche Wynn 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
Porche Wynn, PHD, LPC 318 N Gay St Ste 210, Knoxville, TN 37917-7515 Ph: (865) 370-7705	Porche Wynn, PHD, LPC 318 N Gay St Ste 210, Knoxville, TN 37917-7515 Ph: (865) 370-7705

Reviews and Comments

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Porche Wynn, PHD, LPC - Medicare Counselor in Knoxville, TN