James Blaine Tucker, LPC, LCPC, LCAC - Medicare Counselor in Shawnee, KS

James Blaine Tucker, LPC, LCPC, LCAC is a medicare enrolled "Counselor - Mental Health" provider in Shawnee, Kansas. His current practice location is 6440 Nieman Rd, Shawnee, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 826-4200.

James Blaine Tucker is licensed to practice in Kansas (license number 2609) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447680970.

Contact Information

James Blaine Tucker, LPC, LCPC, LCAC
6440 Nieman Rd,
Shawnee, KS 66203-3326
(913) 826-4200
(913) 826-1589

Healthcare Provider's Profile

Full NameJames Blaine Tucker
GenderMale
SpecialityCounselor - Mental Health
Location6440 Nieman Rd, Shawnee, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447680970
  • Provider Enumeration Date: 11/19/2013
  • Last Update Date: 01/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3577911304
  • Enrollment ID: I20231204003500

Medical Identifiers

Medical identifiers for James Blaine Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447680970NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 2609 (Kansas)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 651 (Kansas)Secondary
101YP2500XCounselor - Professional 2013005910 (Missouri)Secondary

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. James Blaine Tucker allows following entities to bill medicare on his behalf.
Entity NameJohnson County Mental Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174513444
PECOS PAC ID: 0547156903
Enrollment ID: O20051112000009

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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. James Blaine Tucker 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 AddressPractice Location Address
James Blaine Tucker, LPC, LCPC, LCAC
6000 Lamar Ave Ste 130,
Mission, KS 66202-3299

Ph: (913) 826-4200
James Blaine Tucker, LPC, LCPC, LCAC
6440 Nieman Rd,
Shawnee, KS 66203-3326

Ph: (913) 826-4200

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Counselor in Shawnee, KS

Jennifer Melby, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 6440 Nieman Rd, Shawnee, KS 66203
Phone: 913-826-4200    
Douglas Johnson, LAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6221 Richards Dr, Shawnee, KS 66216
Phone: 913-248-1943    Fax: 913-248-1994
Kevin Ryan Kufeldt, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 6440 Nieman Rd, Shawnee, KS 66203
Phone: 913-826-4200    
Alexandria Wagner, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 6440 Nieman Rd, Shawnee, KS 66203
Phone: 913-826-4200    
Kristy Mccollum-wachter,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11120 W 65th St, Shawnee, KS 66203
Phone: 913-826-4200    
Sue Jacobson, LAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6221 Richards Dr, Shawnee, KS 66216
Phone: 913-248-1943    Fax: 913-248-1994
Fatemeh Mohammadzadeh, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6840 Silverheel St, Shawnee, KS 66226
Phone: 913-647-7709    

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