Mr Andrew Garrison, LCPC is a medicare enrolled "Counselor - Professional" provider in Milan, Illinois. His current practice location is
3333 155th Ave, Milan, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 623-4459.
Mr Andrew Garrison is licensed to practice in Illinois (license number 180.011505) 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 1649757725.
Healthcare Provider's Profile
Full Name | Mr Andrew Garrison |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 3333 155th Ave, Milan, Illinois |
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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: 1649757725
- Provider Enumeration Date: 07/23/2018
- Last Update Date: 07/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 0547611410
- Enrollment ID: I20240304000225
Medical Identifiers
Medical identifiers for Mr Andrew Garrison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649757725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 180.011505 (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. Mr Andrew Garrison allows following entities to bill medicare on his behalf.
Entity Name | Southpark Psychology Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558470419 PECOS PAC ID: 8527203090 Enrollment ID: O20130404000285 |
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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. Mr Andrew Garrison 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 |
Mr Andrew Garrison, LCPC 3333 155th Ave, Milan, IL 61264-7607 Ph: (309) 623-4459 | Mr Andrew Garrison, LCPC 3333 155th Ave, Milan, IL 61264-7607 Ph: (309) 623-4459 |
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