Buddy Detzel, in Dallas, TX - Medicare Counselor Provider

Buddy Detzel, is a medicare enrolled "Counselor - Professional" provider in Dallas, Texas. His current practice location is 10300 N Central Expy Ste 280, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 701-1987.

Buddy Detzel is licensed to practice in Texas (license number 70601) 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 1174977110.

Contact Information

	Buddy Detzel,
	10300 N Central Expy Ste 280, Dallas, TX 75231-8666
	(214) 701-1987
	(214) 751-3109

Map and Direction

Healthcare Provider's Profile

Full Name	Buddy Detzel
Gender	Male
Speciality	Counselor - Professional
Location	10300 N Central Expy Ste 280, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174977110
Provider Enumeration Date: 04/15/2016
Last Update Date: 08/26/2020

Medicare PECOS Information:

PECOS PAC ID: 0749622090
Enrollment ID: I20240531002018

Medical Identifiers

Medical identifiers for Buddy Detzel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174977110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	70601 (Texas)	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. Buddy Detzel allows following entities to bill medicare on his behalf.

Entity Name	Authentic Therapy Solutions Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982487302 PECOS PAC ID: 5395187645 Enrollment ID: O20240531001713

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. Buddy Detzel 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
Buddy Detzel, 10300 N Central Expy Ste 280, Dallas, TX 75231-8666 Ph: (214) 506-3134	Buddy Detzel, 10300 N Central Expy Ste 280, Dallas, TX 75231-8666 Ph: (214) 701-1987

Reviews and Comments

Counselor in Dallas, TX

Keisha L. Butler, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Central Expy, Suite 400-8, Dallas, TX 75201 Phone: 214-298-7647 Fax: 469-227-4251
Mrs. Ashley Nicole Dye, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4600 Samuell Blvd, Dallas, TX 75228 Phone: 214-381-7181
Ms. Ana Cecilia Gutierrez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6220 Gaston Ave, Suite 501, Dallas, TX 75214 Phone: 972-904-7935 Fax: 972-838-1446
Mr. James Richard White, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8222 Douglas Ave, Suite 390, Dallas, TX 75225 Phone: 214-234-2400 Fax: 214-234-2401
Dr. Cathey Soutter, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17300 Preston Rd, Dallas, TX 75252 Phone: 972-733-6565
Antonio Gonzales, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8625 King George Dr, Suite 111, Dallas, TX 75235 Phone: 214-631-7002 Fax: 214-631-6698
William Keith Palmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5701 Maple Ave, Ste. 100, Dallas, TX 75235 Phone: 214-351-6600 Fax: 214-351-5046

Buddy Detzel, - Medicare Counselor in Dallas, TX