Mr Charles Lucas Stephens, LMLP, LCP - Medicare Psychologist in Dodge City, KS

Mr Charles Lucas Stephens, LMLP, LCP is a medicare enrolled "Psychologist - Group Psychotherapy" provider in Dodge City, Kansas. His current practice location is 11200 Lariat Way, Dodge City, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 225-0276.

Mr Charles Lucas Stephens is licensed to practice in Kansas (license number 0136) 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 1245355361.

Contact Information

Mr Charles Lucas Stephens, LMLP, LCP
11200 Lariat Way,
Dodge City, KS 67801-7328
(620) 225-0276
(620) 225-0276



Healthcare Provider's Profile

Full NameMr Charles Lucas Stephens
GenderMale
SpecialityPsychologist - Group Psychotherapy
Location11200 Lariat Way, Dodge City, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245355361
  • Provider Enumeration Date: 03/20/2007
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4587007547
  • Enrollment ID: I20240206003910

Medical Identifiers

Medical identifiers for Mr Charles Lucas Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245355361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 0141 (Kansas)Primary
103T00000XPsychologist 0136 (Kansas)Primary
103TP2701XPsychologist - Group Psychotherapy 0141 (Kansas)Primary
103TP2701XPsychologist - Group Psychotherapy 0136 (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. Mr Charles Lucas Stephens allows following entities to bill medicare on his behalf.
Entity NameIroquois Center For Human Development, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922001981
PECOS PAC ID: 2062314081
Enrollment ID: O20040915000321

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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 Charles Lucas Stephens 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 Charles Lucas Stephens, LMLP, LCP
900 W Broadway St,
Newton, KS 67114-2037

Ph: (316) 283-1950
Mr Charles Lucas Stephens, LMLP, LCP
11200 Lariat Way,
Dodge City, KS 67801-7328

Ph: (620) 225-0276

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Psychologist in Dodge City, KS

Jocelyn Lemus-diaz,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 506 Avenue L, Dodge City, KS 67801
Phone: 620-227-8566    
Nikki Lee Simmons, MC
Psychologist
Medicare: Medicare Enrolled
Practice Location: 100 Military Ave Ste 205, Dodge City, KS 67801
Phone: 620-789-1428    Fax: 620-371-6465

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