Mr George Anthony Totleben Jr, LCPC in Berwyn, IL

Mr George Anthony Totleben Jr, LCPC is a medicare enrolled "Counselor - Professional" provider in Berwyn, Illinois. His current practice location is 6918 W Windsor Ave, Berwyn, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 745-5277.

Mr George Anthony Totleben Jr is licensed to practice in Illinois (license number 180009580) 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 1730544248.

Contact Information

	Mr George Anthony Totleben Jr, LCPC
	6918 W Windsor Ave, Berwyn, IL 60402-3334
	(708) 745-5277
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr George Anthony Totleben Jr
Gender	Male
Speciality	Counselor - Professional
Location	6918 W Windsor Ave, Berwyn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730544248
Provider Enumeration Date: 12/28/2015
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 1254781305
Enrollment ID: I20240102001847

Medical Identifiers

Medical identifiers for Mr George Anthony Totleben Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730544248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180009580 (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 George Anthony Totleben Jr allows following entities to bill medicare on his behalf.

Entity Name	Pillars Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184640666 PECOS PAC ID: 9032367859 Enrollment ID: O20180329001612

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 George Anthony Totleben Jr 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 George Anthony Totleben Jr, LCPC 5220 East Ave, Countryside, IL 60525-3133 Ph: (708) 745-5277	Mr George Anthony Totleben Jr, LCPC 6918 W Windsor Ave, Berwyn, IL 60402-3334 Ph: (708) 745-5277

Reviews and Comments

Counselor in Berwyn, IL

Ms. Lizette Reyes Reveles, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277
Christina M King, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 6415 Stanley, Berwyn, IL 60402 Phone: 708-788-0511 Fax: 708-788-0831
Ms. Julie Durkalec, BS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277
Mr. Philip Jean Tomas, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277 Fax: 708-795-4834
Hannah Doggett, MA, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-745-5277
Antoinette Allen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6918 W Windsor Ave, Berwyn, IL 60402 Phone: 708-995-3720
Dr. Alban George Fisher, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 3239 Grove Ave Ste 2, Berwyn, IL 60402 Phone: 773-663-6597

Mr George Anthony Totleben Jr, LCPC - Medicare Counselor in Berwyn, IL