Erica Reveron, LAC in Gilbert, AZ - Medicare Counselor Provider

Erica Reveron, LAC is a medicare enrolled "Counselor - Mental Health" provider in Gilbert, Arizona. Her current practice location is 2473 S Higley Rd Ste 104-124, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (904) 415-5993.

Erica Reveron is licensed to practice in Arizona (license number ) 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 1871125724.

Contact Information

	Erica Reveron, LAC
	2473 S Higley Rd Ste 104-124, Gilbert, AZ 85295-3020
	(904) 415-5993
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Erica Reveron
Gender	Female
Speciality	Counselor - Mental Health
Location	2473 S Higley Rd Ste 104-124, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871125724
Provider Enumeration Date: 02/09/2020
Last Update Date: 02/09/2020

Medicare PECOS Information:

PECOS PAC ID: 7810331063
Enrollment ID: I20240215004076

Medical Identifiers

Medical identifiers for Erica Reveron such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871125724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(Arizona)	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. Erica Reveron allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210318002844

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. Erica Reveron 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
Erica Reveron, LAC 2473 S Higley Rd Ste 104-124, Gilbert, AZ 85295-3020 Ph: (904) 415-5993	Erica Reveron, LAC 2473 S Higley Rd Ste 104-124, Gilbert, AZ 85295-3020 Ph: (904) 415-5993

Reviews and Comments

Counselor in Gilbert, AZ

Jennifer Oetjen, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1075 S Agnes Ln, Gilbert, AZ 85296 Phone: 480-275-5700
Ms. Jean Kerr, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 880 N Colorado St, Gilbert, AZ 85233 Phone: 480-820-0825 Fax: 480-820-7863
Lauretta E Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4068 E Pecos Rd, Gilbert, AZ 85295 Phone: 480-279-7321 Fax: 480-279-7305
Emalee Grant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 E Warner Rd Ste 115, Gilbert, AZ 85296 Phone: 480-590-3915
Brian Theer, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3651 E Baseline Rd # E104, Gilbert, AZ 85234 Phone: 602-833-2829
Isabella C Moreno, SCHOOL PSYCHOLOGIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 913 E Hearne Way, Gilbert, AZ 85234 Phone: 480-892-2022
Craig Kent Dalton, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 690 E Warner Rd Ste 115, Gilbert, AZ 85296 Phone: 480-444-2434

Erica Reveron, LAC - Medicare Counselor in Gilbert, AZ