Dr Michael G Tavolacci, LPC in Roselle, IL - Medicare Counselor Provider

Dr Michael G Tavolacci, LPC is a medicare enrolled "Counselor - Professional" provider in Roselle, Illinois. His current practice location is 390 E Devon Ave Ste 201, Roselle, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 358-9821.

Dr Michael G Tavolacci is licensed to practice in Illinois (license number 178015764) 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 1518592872.

Contact Information

	Dr Michael G Tavolacci, LPC
	390 E Devon Ave Ste 201, Roselle, IL 60172-1763
	(630) 358-9821
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael G Tavolacci
Gender	Male
Speciality	Counselor - Professional
Location	390 E Devon Ave Ste 201, Roselle, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518592872
Provider Enumeration Date: 03/06/2020
Last Update Date: 03/07/2020

Medicare PECOS Information:

PECOS PAC ID: 5193154235
Enrollment ID: I20240312003090

Medical Identifiers

Medical identifiers for Dr Michael G Tavolacci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518592872	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	178015764 (Illinois)	Secondary
101YM0800X	Counselor - Mental Health	178015764 (Illinois)	Secondary
101YP2500X	Counselor - Professional	178015764 (Illinois)	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. Dr Michael G Tavolacci allows following entities to bill medicare on his behalf.

Entity Name	Modern Me Psychology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841830338 PECOS PAC ID: 8820427966 Enrollment ID: O20200410001413

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. Dr Michael G Tavolacci 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
Dr Michael G Tavolacci, LPC 223 W Country Dr, Bartlett, IL 60103-4674 Ph: (630) 803-3591	Dr Michael G Tavolacci, LPC 390 E Devon Ave Ste 201, Roselle, IL 60172-1763 Ph: (630) 358-9821

Reviews and Comments

Counselor in Roselle, IL

Asta Klimaite, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 975 E Nerge Rd Ste W40, Roselle, IL 60172 Phone: 708-695-4808
Kristen Judith Beeck, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 E Devon Ave Ste 201, Roselle, IL 60172 Phone: 630-358-9821
Ms. Tania Margo Gallant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Hastings Ct, Roselle, IL 60172 Phone: 224-523-3723
Terry L Wright-goehmann, LCPC, RD, LD Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 W Glenlake Ave, Roselle, IL 60172 Phone: 847-913-3673 Fax: 630-980-9730
Amanda Worth, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 E Devon Ave Ste 201, Roselle, IL 60172 Phone: 630-358-9821
Demetria Agharese, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 286 Regal Ct, Roselle, IL 60172 Phone: 313-377-7456

Dr Michael G Tavolacci, LPC - Medicare Counselor in Roselle, IL