Tracy Dian Fountain, BHRS in Welling, OK - Medicare Counselor Provider

Tracy Dian Fountain, BHRS is a medicare enrolled "Counselor" provider in Welling, Oklahoma. Her current practice location is 27753 S Welling Rd, Welling, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 457-4999.

Tracy Dian Fountain is licensed to practice in * (Not Available) (license number ) 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 1194095273.

Contact Information

	Tracy Dian Fountain, BHRS
	27753 S Welling Rd, Welling, OK 74471-2202
	(918) 457-4999
	(918) 457-4104

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Dian Fountain
Gender	Female
Speciality	Counselor
Location	27753 S Welling Rd, Welling, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194095273
Provider Enumeration Date: 01/06/2012
Last Update Date: 01/06/2012

Medicare PECOS Information:

PECOS PAC ID: 3678923935
Enrollment ID: I20231228002205

Medical Identifiers

Medical identifiers for Tracy Dian Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194095273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Tracy Dian Fountain allows following entities to bill medicare on her behalf.

Entity Name	Improving Lives Counseling Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487967444 PECOS PAC ID: 3870818230 Enrollment ID: O20150206001731

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. Tracy Dian Fountain 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
Tracy Dian Fountain, BHRS 27753 S Welling Rd, Welling, OK 74471-2202 Ph: (918) 457-4999	Tracy Dian Fountain, BHRS 27753 S Welling Rd, Welling, OK 74471-2202 Ph: (918) 457-4999

Reviews and Comments

Counselor in Welling, OK

Becky Gonelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27753 S Welling Rd, Welling, OK 74471 Phone: 918-797-7786
Ms. Debra Ann Shepherd, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 27753 S Welling Rd, Welling, OK 74471 Phone: 918-457-4999
Mrs. Amanda Jo Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27753 S Welling Rd, Welling, OK 74471 Phone: 918-457-4999
Janus Farar, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 23463 E 774 Rd, Welling, OK 74471 Phone: 918-456-1673
Karen Ford, BSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 27753 S Welling Rd, Welling, OK 74471 Phone: 918-457-4999
Sherman Ray Nofire, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 27753 S Welling Rd, Welling, OK 74471 Phone: 918-457-4999

Tracy Dian Fountain, BHRS - Medicare Counselor in Welling, OK