Theresa Renee Butler, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Saugatuck, Michigan. Her current practice location is
3489 64th St, Saugatuck, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 903-8025.
Theresa Renee Butler is licensed to practice in Michigan (license number 6801091370) 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 1598117111.
Healthcare Provider's Profile
Full Name | Theresa Renee Butler |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3489 64th St, Saugatuck, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598117111
- Provider Enumeration Date: 07/07/2016
- Last Update Date: 04/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 7810225554
- Enrollment ID: I20190820001450
Medical Identifiers
Medical identifiers for Theresa Renee Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598117111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 68010913709 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801091370 (Michigan) | 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. Theresa Renee Butler allows following entities to bill medicare on her behalf.
Entity Name | Hope & Wholeness Psychology Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841726809 PECOS PAC ID: 6901175082 Enrollment ID: O20170705001775 |
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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. Theresa Renee Butler 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 |
Theresa Renee Butler, LMSW 3489 64th St, Saugatuck, MI 49453-9706 Ph: (269) 903-8025 | Theresa Renee Butler, LMSW 3489 64th St, Saugatuck, MI 49453-9706 Ph: (269) 903-8025 |
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