Raegan D Dettlaff, LPC in Lebanon, MO - Medicare Mental Health Counselor Provider

Raegan D Dettlaff, LPC is a medicare enrolled "Counselor - Professional" provider in Lebanon, Missouri. She graduated from healthcare school in 2022 and has 3 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Compass Health Inc and her current practice location is 860 Lynn St, Lebanon, Missouri. You can reach out to her office (for appointments etc.) via phone at (844) 853-8937.

Raegan D Dettlaff is licensed to practice in Missouri (license number 2025009356) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639870439.

Contact Information

	Raegan D Dettlaff, LPC
	860 Lynn St, Lebanon, MO 65536-3810
	(844) 853-8937
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Raegan D Dettlaff
Gender	Female
Speciality	Mental Health Counselor
Experience	3 Years
Location	860 Lynn St, Lebanon, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Raegan D Dettlaff graduated from medical school in 2022

NPI Data:

NPI Number: 1639870439
Provider Enumeration Date: 03/17/2023
Last Update Date: 03/25/2025

Medicare PECOS Information:

PECOS PAC ID: 3779007430
Enrollment ID: I20250403003324

Medical Identifiers

Medical identifiers for Raegan D Dettlaff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639870439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2025009356 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Compass Health Inc	1951206754	246

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. Raegan D Dettlaff allows following entities to bill medicare on her behalf.

Entity Name	Compass Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955

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. Raegan D Dettlaff 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
Raegan D Dettlaff, LPC 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131	Raegan D Dettlaff, LPC 860 Lynn St, Lebanon, MO 65536-3810 Ph: (844) 853-8937

Reviews and Comments

Counselor in Lebanon, MO

Kajal Kaul, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1216 Deadra Dr, Lebanon, MO 65536 Phone: 417-532-7102
Starla Brooke Walton, M.S., LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 601 N Jefferson Ave Ste C, Lebanon, MO 65536 Phone: 417-616-3315 Fax: 417-512-7047
Ms. Jerilie Marshall, LPC, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 888-403-1071
Belinda Licea, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1228 Deadra Dr, Lebanon, MO 65536 Phone: 417-991-2505
Morgana Hazell, PSYD Counselor Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Suite 100, Lebanon, MO 65536 Phone: 417-820-3128 Fax: 417-820-8616
Charlotte A Moore, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 104 Crescent Dr, Lebanon, MO 65536 Phone: 417-588-5885 Fax: 417-588-4296
Shelley Louise Jungen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 888-403-1071

Raegan D Dettlaff, LPC - Medicare Counselor in Lebanon, MO