Heather Duthler, LMSW, CAADC, CCS - Medicare Counselor in Sparta, MI

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Heather Duthler, LMSW, CAADC, CCS is a medicare enrolled "Social Worker" provider in Sparta, Michigan. She graduated from healthcare school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 2111 12 Mile Rd Nw, Sparta, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-8470.

Heather Duthler is licensed to practice in Michigan (license number 6801086697) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538551346.

Contact Information

Heather Duthler, LMSW, CAADC, CCS
2111 12 Mile Rd Nw,
Sparta, MI 49345-9754
(616) 391-8470
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameHeather Duthler
GenderFemale
SpecialityClinical Social Worker
Experience20 Years
Location2111 12 Mile Rd Nw, Sparta, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Heather Duthler graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1538551346
  • Provider Enumeration Date: 03/03/2015
  • Last Update Date: 06/26/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2769759794
  • Enrollment ID: I20170523002350

Medical Identifiers

Medical identifiers for Heather Duthler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538551346NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 6801086697 (Michigan)Secondary
101YP2500XCounselor - Professional 6801086697 (Michigan)Secondary
104100000XSocial Worker 6801086697 (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. Heather Duthler allows following entities to bill medicare on her behalf.
Entity NameHeather Duthler
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336792324
PECOS PAC ID: 5294183323
Enrollment ID: O20231129002353

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. Heather Duthler 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 AddressPractice Location Address
Heather Duthler, LMSW, CAADC, CCS
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560

Ph: () -		Heather Duthler, LMSW, CAADC, CCS
2111 12 Mile Rd Nw,
Sparta, MI 49345-9754

Ph: (616) 391-8470

Reviews and Comments


Social Worker in Sparta, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.