Mr Martin Wynn Phillips, LPC in Chesapeake, VA

Mr Martin Wynn Phillips, LPC is a medicare enrolled "Counselor - Professional" provider in Chesapeake, Virginia. His current practice location is 411 Cedar Rd, Chesapeake, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 548-8848.

Mr Martin Wynn Phillips is licensed to practice in Virginia (license number 0701001549) 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 1720179146.

Contact Information

	Mr Martin Wynn Phillips, LPC
	411 Cedar Rd, Chesapeake, VA 23322-5566
	(757) 548-8848
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Martin Wynn Phillips
Gender	Male
Speciality	Counselor - Professional
Location	411 Cedar Rd, Chesapeake, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720179146
Provider Enumeration Date: 09/28/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 7517126709
Enrollment ID: I20240219002032

Medical Identifiers

Medical identifiers for Mr Martin Wynn Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720179146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701001549 (Virginia)	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 Martin Wynn Phillips allows following entities to bill medicare on his behalf.

Entity Name	Tidewater Pastoral Counseling Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407014509 PECOS PAC ID: 3072772268 Enrollment ID: O20120307000544

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 Martin Wynn Phillips 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 Martin Wynn Phillips, LPC 411 Cedar Rd, Chesapeake, VA 23322-5566 Ph: (757) 548-8848	Mr Martin Wynn Phillips, LPC 411 Cedar Rd, Chesapeake, VA 23322-5566 Ph: (757) 548-8848

Reviews and Comments

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Mr Martin Wynn Phillips, LPC - Medicare Counselor in Chesapeake, VA