Mr Robert John Booth, in Appleton, WI - Medicare Counselor Provider

Mr Robert John Booth, is a medicare enrolled "Counselor - Mental Health" provider in Appleton, Wisconsin. His current practice location is 2500 E Enterprise Ave Ste B, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 416-8577.

Mr Robert John Booth is licensed to practice in * (Not Available) (license number ) 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 1831768258.

Contact Information

	Mr Robert John Booth,
	2500 E Enterprise Ave Ste B, Appleton, WI 54913-8556
	(920) 416-8577
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert John Booth
Gender	Male
Speciality	Counselor - Mental Health
Location	2500 E Enterprise Ave Ste B, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831768258
Provider Enumeration Date: 06/21/2021
Last Update Date: 04/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6608226238
Enrollment ID: I20231222001843

Medical Identifiers

Medical identifiers for Mr Robert John Booth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831768258	NPI	-	NPPES
42251300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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 Robert John Booth allows following entities to bill medicare on his behalf.

Entity Name	Nystrom & Associates Counseling Wi Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659977866 PECOS PAC ID: 1052729464 Enrollment ID: O20210426000171

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 Robert John Booth 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 Robert John Booth, 1809 Hickory Ln, Oshkosh, WI 54901-2510 Ph: (877) 300-9101	Mr Robert John Booth, 2500 E Enterprise Ave Ste B, Appleton, WI 54913-8556 Ph: (920) 416-8577

Reviews and Comments

Counselor in Appleton, WI

Ms. Maria Gloria Vercimak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 N Westhill Blvd, Appleton, WI 54914 Phone: 920-750-7000 Fax: 920-364-2451
Pablo E Serna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Walnut St, Appleton, WI 54911 Phone: 920-832-4741 Fax: 920-832-2185
Kimberly Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 N Richmond St, Appleton, WI 54911 Phone: 920-730-1321 Fax: 920-734-2824
Teri G Metropulos, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 229 S. Morrison, Appleton, WI 54911 Phone: 920-832-2783 Fax: 920-832-2635
Nhia Moua, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 W Grande Market Dr Ste N, Appleton, WI 54913 Phone: 920-903-1060 Fax: 920-903-1164
Trevor Konetzke, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S Glenridge Ct, Appleton, WI 54914 Phone: 920-731-3981
Mrs. Danielle Faye Falesnik, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 1/2 W College Ave Ste 3, Appleton, WI 54911 Phone: 920-795-7188 Fax: 920-570-6994

Mr Robert John Booth, - Medicare Counselor in Appleton, WI