Regina Sue Peck, LPC in Wister, OK - Medicare Counselor Provider

Regina Sue Peck, LPC is a medicare enrolled "Counselor - Professional" provider in Wister, Oklahoma. Her current practice location is 23610 Wolf Valley Rd, Wister, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 647-1924.

Regina Sue Peck is licensed to practice in Oklahoma (license number 6716) 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 1861697062.

Contact Information

	Regina Sue Peck, LPC
	23610 Wolf Valley Rd, Wister, OK 74966-2945
	(918) 647-1924
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Regina Sue Peck
Gender	Female
Speciality	Counselor - Professional
Location	23610 Wolf Valley Rd, Wister, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861697062
Provider Enumeration Date: 06/18/2007
Last Update Date: 02/03/2020

Medicare PECOS Information:

PECOS PAC ID: 0345778924
Enrollment ID: I20250109003213

Medical Identifiers

Medical identifiers for Regina Sue Peck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861697062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	6716 (Oklahoma)	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. Regina Sue Peck allows following entities to bill medicare on her behalf.

Entity Name	Mindful Well Being Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083253819 PECOS PAC ID: 9436687019 Enrollment ID: O20250109003089

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. Regina Sue Peck 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
Regina Sue Peck, LPC 23610 Wolf Valley Rd, Wister, OK 74966-2945 Ph: (918) 647-1924	Regina Sue Peck, LPC 23610 Wolf Valley Rd, Wister, OK 74966-2945 Ph: (918) 647-1924

Reviews and Comments

Counselor in Wister, OK

Misti Kay Roath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34718 Carpenter Ln, Wister, OK 74966 Phone: 918-839-0751
Kim Evans, Counselor Medicare: Medicare Enrolled Practice Location: 23611 Wolf Valley Rd, Wister, OK 74966 Phone: 918-839-4695
Karen Benson, MEDLPC UNDERSUPERVIS Counselor Medicare: Not Enrolled in Medicare Practice Location: 34002 Holson Valley Rd, Wister, OK 74966 Phone: 918-649-7246
Marenda Rachelle Singleterry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44035 Nanny Ridge Dr, Wister, OK 74966 Phone: 918-721-3982

Regina Sue Peck, LPC - Medicare Counselor in Wister, OK