Doralissa R Griffin, MS in Edmonds, WA - Medicare Counselor Provider

Doralissa R Griffin, MS is a medicare enrolled "Counselor - Mental Health" provider in Edmonds, Washington. Her current practice location is 7614 195th St Sw Ste 101, Edmonds, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 775-4059.

Doralissa R Griffin is licensed to practice in Washington (license number LH60484698) 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 1457654741.

Contact Information

	Doralissa R Griffin, MS
	7614 195th St Sw Ste 101, Edmonds, WA 98026-6260
	(425) 775-4059
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Doralissa R Griffin
Gender	Female
Speciality	Counselor - Mental Health
Location	7614 195th St Sw Ste 101, Edmonds, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457654741
Provider Enumeration Date: 12/08/2010
Last Update Date: 06/03/2024

Medicare PECOS Information:

PECOS PAC ID: 0941645782
Enrollment ID: I20240301003536

Medical Identifiers

Medical identifiers for Doralissa R Griffin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457654741	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH60484698 (Washington)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Doralissa R Griffin allows following entities to bill medicare on her behalf.

Entity Name	Bluestone Psychological Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811269624 PECOS PAC ID: 6305174806 Enrollment ID: O20190821004511

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. Doralissa R Griffin 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
Doralissa R Griffin, MS 15405 35th Ave W Apt G35, Lynnwood, WA 98087-5018 Ph: (425) 478-7670	Doralissa R Griffin, MS 7614 195th St Sw Ste 101, Edmonds, WA 98026-6260 Ph: (425) 775-4059

Reviews and Comments

Counselor in Edmonds, WA

Thomas Osterdahl, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 7935 Lake Ballinger Way, Edmonds, WA 98026 Phone: 425-412-2973 Fax: 425-672-6022
Jeanette M Kraemer, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7522 221st Pl Sw, Edmonds, WA 98026 Phone: 425-775-4059
Bria J Effertz, M.S.W., MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20903 70th Ave W, Edmonds, WA 98026 Phone: 425-672-3333 Fax: 425-712-0539
Kayla Wagner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Sierra Pl, Edmonds, WA 98020 Phone: 253-292-8270
Ms. Abha Harting, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 20903 70th Ave. W, Aurora House, Edmonds, WA 98026 Phone: 425-672-3333
Mr. David Alan Shively, MA LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20903 70th W, Edmonds, WA 98026 Phone: 425-672-3333 Fax: 425-712-0539
Mr. Benjamin William Adams, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 406 Main St, Suite 111, Edmonds, WA 98020 Phone: 206-552-0562

Doralissa R Griffin, MS - Medicare Counselor in Edmonds, WA