Amos Thao, LPC in De Pere, WI - Medicare Counselor Provider

Amos Thao, LPC is a medicare enrolled "Counselor - Mental Health" provider in De Pere, Wisconsin. His current practice location is 3860 Monroe Rd, De Pere, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 496-4700.

Amos Thao is licensed to practice in Wisconsin (license number 10882-125) 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 1295493245.

Contact Information

	Amos Thao, LPC
	3860 Monroe Rd, De Pere, WI 54115-8399
	(920) 496-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amos Thao
Gender	Male
Speciality	Counselor - Mental Health
Location	3860 Monroe Rd, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295493245
Provider Enumeration Date: 12/06/2021
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4284084617
Enrollment ID: I20231228000678

Medical Identifiers

Medical identifiers for Amos Thao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295493245	NPI	-	NPPES
100197638	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	10882-125 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	10882-125 (Wisconsin)	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. Amos Thao allows following entities to bill medicare on his behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Amos Thao 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
Amos Thao, LPC Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Amos Thao, LPC 3860 Monroe Rd, De Pere, WI 54115-8399 Ph: (920) 496-4700

Reviews and Comments

Counselor in De Pere, WI

Craig Linzmeier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1511 W Main Ave, Suite 100, De Pere, WI 54115 Phone: 920-403-7600 Fax: 920-403-7360
Cassandra Vanstraten, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Mrs. Carole M St.laurent-groves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 Angels Path Rd, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270
Andrew Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 George St Ste B12, De Pere, WI 54115 Phone: 920-340-0939
Marie D. Ibarra Stafford, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Mr. Dan J Braaten, LMFT, SAC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Stephanie Prevost, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700

Amos Thao, LPC - Medicare Counselor in De Pere, WI