Mr Terence Peter Vant, in Broadview, IL - Medicare Counselor Provider

Mr Terence Peter Vant, is a medicare enrolled "Counselor - Professional" provider in Broadview, Illinois. His current practice location is 1820 S 25th Ave, Broadview, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 681-2325.

Mr Terence Peter Vant is licensed to practice in Illinois (license number 180016139) 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 1811661333.

Contact Information

	Mr Terence Peter Vant,
	1820 S 25th Ave, Broadview, IL 60155-3960
	(708) 681-2325
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Terence Peter Vant
Gender	Male
Speciality	Counselor - Professional
Location	1820 S 25th Ave, Broadview, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811661333
Provider Enumeration Date: 08/07/2021
Last Update Date: 06/12/2024

Medicare PECOS Information:

PECOS PAC ID: 7416491949
Enrollment ID: I20240626000374

Medical Identifiers

Medical identifiers for Mr Terence Peter Vant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811661333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	178013388 (Illinois)	Secondary
101YP2500X	Counselor - Professional	180016139 (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 Terence Peter Vant allows following entities to bill medicare on his behalf.

Entity Name	Presence Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477622298 PECOS PAC ID: 7517864143 Enrollment ID: O20031212000734

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 Terence Peter Vant 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 Terence Peter Vant, 1414 Main St, Melrose Park, IL 60160-3902 Ph: (708) 681-0073	Mr Terence Peter Vant, 1820 S 25th Ave, Broadview, IL 60155-3960 Ph: (708) 681-2325

Reviews and Comments

Counselor in Broadview, IL

Miss Jamie L Dobkowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-681-0073
Mrs. Jackie E Skinner, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-338-3806 Fax: 708-410-0744
Katherine Goelitz, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1915 W Roosevelt Rd, Broadview, IL 60155 Phone: 708-498-0200
Lyndsey Tan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 630-801-5658
Mr. Philip William Schneeberger, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1915 W Roosevelt Rd, Broadview, IL 60155 Phone: 708-344-3301 Fax: 708-344-2944
Nadia Gomez-moran, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-681-0073
Ms. Genoveva Perez, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 S 25th Ave, Broadview, IL 60155 Phone: 708-410-0615 Fax: 708-410-0744

Mr Terence Peter Vant, - Medicare Counselor in Broadview, IL