Affect Provider Group - Medicare Mental Health Clinic in Danville, KY

Affect Provider Group is a medicare enrolled mental health clinic (Clinic/center - Rehabilitation, Substance Use Disorder) in Danville, Kentucky. The current practice location for Affect Provider Group is 116 N 3rd St Ste 3, Danville, Kentucky. For appointments, you can reach them via phone at (845) 769-8758. The mailing address for Affect Provider Group is 116 N 3rd St Ste 3, Danville, Kentucky and phone number is (951) 691-9101.

Affect Provider Group is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1326799081. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (845) 769-8758.

Contact Information

Affect Provider Group
116 N 3rd St Ste 3
Danville
KY 40422-1691
(845) 769-8758
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameAffect Provider Group
SpecialityClinic/Center
Location116 N 3rd St Ste 3, Danville, Kentucky
Authorized Official Name and PositionKarla Renee Mullings (DIRECTOR OF COMPLIANCE)
Authorized Official Contact8457688758
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Affect Provider Group
116 N 3rd St Ste 3
Danville
KY 40422-1691

Ph: (951) 691-9101
Affect Provider Group
116 N 3rd St Ste 3
Danville
KY 40422-1691

Ph: (845) 769-8758

NPI Details:

NPI Number1326799081
Provider Enumeration Date01/14/2022
Last Update Date08/25/2026
Certification Date08/25/2026

Medicare PECOS Information:

Medicare PECOS PAC ID5597105684
Medicare Enrollment IDO20240514001561

Medical Identifiers

Medical identifiers for Affect Provider Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326799081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health ()Secondary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder ()Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Affect Provider Group acts as a billing entity for following providers:
Provider NameRobert Glenn
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902033210
PECOS PAC ID: 9335328467
Enrollment ID: I20130205000592

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.