Mr Terence Roland Somerville, MA, LPCC in Fremont, OH

Mr Terence Roland Somerville, MA, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Fremont, Ohio. His current practice location is 715 S Taft Ave, Fremont, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 334-6619.

Mr Terence Roland Somerville is licensed to practice in Ohio (license number E0003532) 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 1477881316.

Contact Information

	Mr Terence Roland Somerville, MA, LPCC
	715 S Taft Ave, Fremont, OH 43420-3237
	(419) 334-6619
	(419) 334-6671

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Terence Roland Somerville
Gender	Male
Speciality	Counselor - Mental Health
Location	715 S Taft Ave, Fremont, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477881316
Provider Enumeration Date: 12/04/2009
Last Update Date: 10/06/2016

Medicare PECOS Information:

PECOS PAC ID: 2961846522
Enrollment ID: I20240222001153

Medical Identifiers

Medical identifiers for Mr Terence Roland Somerville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477881316	NPI	-	NPPES
0157472	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E0003532 (Ohio)	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 Roland Somerville allows following entities to bill medicare on his behalf.

Entity Name	Memorial Professional Services Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205139623 PECOS PAC ID: 1456531870 Enrollment ID: O20110202000164

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 Roland Somerville 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 Roland Somerville, MA, LPCC 715 S Taft Ave, Fremont, OH 43420-3237 Ph: (419) 334-6619	Mr Terence Roland Somerville, MA, LPCC 715 S Taft Ave, Fremont, OH 43420-3237 Ph: (419) 334-6619

Reviews and Comments

Counselor in Fremont, OH

Tammy Jo Broshious, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 E State St, Fremont, OH 43420 Phone: 419-334-3431 Fax: 419-334-4230
Kjirsten Corson, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 S Front St, Fremont, OH 43420 Phone: 567-280-4023 Fax: 567-201-2669
Mariah Elizabeth Strayer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Bartson Rd, Fremont, OH 43420 Phone: 419-332-5524
Mr. Christopher Juan Jordan, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2575 Hayes Ave, Fremont, OH 43420 Phone: 567-280-9435
Stephanie Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 S Front St, Fremont, OH 43420 Phone: 567-280-4023
Bryana Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 Croghan St, Fremont, OH 43420 Phone: 419-458-3100 Fax: 567-250-2152
Mrs. Robin Elizabeth Stull, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2228 Hayes Ave Ste D, Fremont, OH 43420 Phone: 419-635-6624

Mr Terence Roland Somerville, MA, LPCC - Medicare Counselor in Fremont, OH