Telisa L Purdy, LMLP in Paola, KS - Medicare Counselor Provider

Telisa L Purdy, LMLP is a medicare enrolled "Counselor - Mental Health" provider in Paola, Kansas. Her current practice location is 25955 W 327th St, Paola, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 557-9096.

Telisa L Purdy is licensed to practice in Kansas (license number LMLP 806) 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 1770728537.

Contact Information

	Telisa L Purdy, LMLP
	25955 W 327th St, Paola, KS 66071-4920
	(913) 557-9096
	(913) 294-9247

Map and Direction

Healthcare Provider's Profile

Full Name	Telisa L Purdy
Gender	Female
Speciality	Counselor - Mental Health
Location	25955 W 327th St, Paola, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770728537
Provider Enumeration Date: 12/09/2008
Last Update Date: 02/19/2013

Medicare PECOS Information:

PECOS PAC ID: 2466801295
Enrollment ID: I20231205003581

Medical Identifiers

Medical identifiers for Telisa L Purdy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770728537	NPI	-	NPPES
200587040A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LMLP 806 (Kansas)	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. Telisa L Purdy allows following entities to bill medicare on her behalf.

Entity Name	Elizabeth Layton Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649296757 PECOS PAC ID: 1557255940 Enrollment ID: O20040209000253

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. Telisa L Purdy 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
Telisa L Purdy, LMLP Po Box 677, Ottawa, KS 66067-0677 Ph: (913) 557-9096	Telisa L Purdy, LMLP 25955 W 327th St, Paola, KS 66071-4920 Ph: (913) 557-9096

Reviews and Comments

Counselor in Paola, KS

Sam Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N Hospital Dr, Paola, KS 66071 Phone: 913-294-9175 Fax: 913-294-9175
Amy Wacker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25955 W 327th St, Paola, KS 66071 Phone: 913-557-9096 Fax: 913-294-9247
Kelccey Manchester, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Lakemary Dr, Paola, KS 66071 Phone: 913-557-4000
Michael E Straw, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25955 W 327th St, Paola, KS 66071 Phone: 913-557-9096 Fax: 913-294-9247
Elizabeth Waddle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25955 W 327th St, Paola, KS 66071 Phone: 913-557-9096 Fax: 913-294-9247
Brittney Bonham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25955 W 327th St, Paola, KS 66071 Phone: 913-557-9096 Fax: 913-294-9247
Leeanna K Billups, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25955 W 327th St, Paola, KS 66071 Phone: 913-557-9096 Fax: 913-294-9247

Telisa L Purdy, LMLP - Medicare Counselor in Paola, KS