Mr Eric Thomas Weaver, LPC in Kentwood, MI - Medicare Counselor Provider

Mr Eric Thomas Weaver, LPC is a medicare enrolled "Counselor - Mental Health" provider in Kentwood, Michigan. His current practice location is 2744 Castle Bluff Ct Se, Kentwood, Michigan. You can reach out to his office (for appointments etc.) via phone at (330) 420-5655.

Mr Eric Thomas Weaver is licensed to practice in Michigan (license number 6401015567) 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 1740818509.

Contact Information

	Mr Eric Thomas Weaver, LPC
	2744 Castle Bluff Ct Se, Kentwood, MI 49512-8083
	(330) 420-5655
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Eric Thomas Weaver
Gender	Male
Speciality	Counselor - Mental Health
Location	2744 Castle Bluff Ct Se, Kentwood, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740818509
Provider Enumeration Date: 03/29/2020
Last Update Date: 08/21/2021

Medicare PECOS Information:

PECOS PAC ID: 6709229859
Enrollment ID: I20240206003353

Medical Identifiers

Medical identifiers for Mr Eric Thomas Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740818509	NPI	-	NPPES
6401015567	Other	MI	MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401015567 (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. Mr Eric Thomas Weaver allows following entities to bill medicare on his behalf.

Entity Name	Suppression Expression Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811641855 PECOS PAC ID: 2365801933 Enrollment ID: O20230630000271

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 Eric Thomas Weaver 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 Eric Thomas Weaver, LPC 1680 44th St Se # 69972, Kentwood, MI 49508-5096 Ph: (330) 420-5655	Mr Eric Thomas Weaver, LPC 2744 Castle Bluff Ct Se, Kentwood, MI 49512-8083 Ph: (330) 420-5655

Reviews and Comments

Counselor in Kentwood, MI

Dakota Mccaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1545 68th St Se Ste 201, Kentwood, MI 49508 Phone: 231-668-4909
Mr. Glenn Edward Kutzli, MA LPC Counselor Medicare: Medicare Enrolled Practice Location: 3333 36th St Se, Kentwood, MI 49512 Phone: 616-954-3540
Dr. Darryl P Plunkett, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4649 N Breton Ct Se Ste A, Kentwood, MI 49508 Phone: 616-275-0577
Ms. Mary Josephine Clark, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4835 Eastern Ave Se, Suite 102, Kentwood, MI 49508 Phone: 616-262-9749 Fax: 866-416-7581
Joshua Colby, M.A, LPC, CAADC Counselor Medicare: Medicare Enrolled Practice Location: 1403 60th St Se, Kentwood, MI 49508 Phone: 616-805-3660
Mr. David Alan Vanderwal, MA/LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6670 Kalamazoo Ave Se, Suite D, Kentwood, MI 49508 Phone: 616-565-4159 Fax: 616-565-4161
Kim Michelle Childress, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 36th St Se, Kentwood, MI 49512 Phone: 616-304-7517

Mr Eric Thomas Weaver, LPC - Medicare Counselor in Kentwood, MI