Doris Tellis, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Saginaw, Michigan. Her current practice location is
301 E Genesee Ave, Saginaw, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 332-8052.
Doris Tellis is licensed to practice in Michigan (license number 6801105378) 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 1487194551.
Healthcare Provider's Profile
Full Name | Doris Tellis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 301 E Genesee Ave, Saginaw, 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: 1487194551
- Provider Enumeration Date: 03/08/2017
- Last Update Date: 03/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 3375886203
- Enrollment ID: I20190516002432
Medical Identifiers
Medical identifiers for Doris Tellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487194551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801105378 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801105378 (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. Doris Tellis allows following entities to bill medicare on her behalf.
Entity Name | Great Lakes Bay Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871684761 PECOS PAC ID: 2466369046 Enrollment ID: O20040126000171 |
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Entity Name | Tlc Therapeutic Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720610777 PECOS PAC ID: 5597196279 Enrollment ID: O20200513001166 |
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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. Doris Tellis 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 |
Doris Tellis, LMSW Po Box 3743, Saginaw, MI 48605-3743 Ph: (989) 332-8050 | Doris Tellis, LMSW 301 E Genesee Ave, Saginaw, MI 48607-1242 Ph: (989) 332-8052 |
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