Mr Zakery R Warren, LCPC4472 - Medicare Counselor in Ammon, ID

Mr Zakery R Warren, LCPC4472 is a medicare enrolled "Counselor - Mental Health" provider in Ammon, Idaho. His current practice location is 2705 E 17th St Ste A, Ammon, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 346-7500.

Mr Zakery R Warren is licensed to practice in Idaho (license number 4472) 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 1053597344.

Contact Information

Mr Zakery R Warren, LCPC4472
2705 E 17th St Ste A,
Ammon, ID 83406-6601
(208) 346-7500
(208) 346-7501

Healthcare Provider's Profile

Full NameMr Zakery R Warren
GenderMale
SpecialityCounselor - Mental Health
Location2705 E 17th St Ste A, Ammon, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053597344
  • Provider Enumeration Date: 01/16/2008
  • Last Update Date: 02/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2466725536
  • Enrollment ID: I20240209000829

Medical Identifiers

Medical identifiers for Mr Zakery R Warren such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053597344NPI-NPPES
002648300MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 4472 (Idaho)Primary
1041C0700XSocial Worker - Clinical LPC3960 (Idaho)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. Mr Zakery R Warren allows following entities to bill medicare on his behalf.
Entity NamePearl Health Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447426465
PECOS PAC ID: 0840356077
Enrollment ID: O20090312000617

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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. Mr Zakery R Warren 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
Mr Zakery R Warren, LCPC4472
2705 E 17th St,
Ammon, ID 83406-6601

Ph: (208) 346-7500
Mr Zakery R Warren, LCPC4472
2705 E 17th St Ste A,
Ammon, ID 83406-6601

Ph: (208) 346-7500

News Archive

Second-quarter fiscal 2010 results announced by Caraco Pharmaceutical Laboratories

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Counselor in Ammon, ID

Elizabeth Whitehead, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1323 Ammon Park Dr, Ammon, ID 83406
Phone: 208-932-8350    Fax: 208-938-2330
Elizabeth Harding,
Counselor
Medicare: Medicare Enrolled
Practice Location: 1675 Curlew Dr, Ammon, ID 83406
Phone: 208-523-5319    Fax: 208-523-5627
Siu Ling Chi,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2705 E 17th St, Ammon, ID 83406
Phone: 208-346-7500    
Angela Lynn Seal, BS, CADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 246 N Curlew Dr Apt 3105, Ammon, ID 83401
Phone: 208-569-6670    
Alyson Marie Webster, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1329 Ammon Park Dr, Ammon, ID 83406
Phone: 208-516-1003    Fax: 208-516-1014
Colin Waters,
Counselor
Medicare: Medicare Enrolled
Practice Location: 2705 E 17th St, Ammon, ID 83406
Phone: 208-346-7500    

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