Mr Thomas Joseph Deiotte Jr, MED, EDS, LPC in Canton, OH

Mr Thomas Joseph Deiotte Jr, MED, EDS, LPC is a medicare enrolled "Counselor - Mental Health" provider in Canton, Ohio. His current practice location is 4522 Fulton Dr Nw, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 915-2907.

Mr Thomas Joseph Deiotte Jr is licensed to practice in Ohio (license number C.1801098) 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 1801386263.

Contact Information

	Mr Thomas Joseph Deiotte Jr, MED, EDS, LPC
	4522 Fulton Dr Nw, Canton, OH 44718
	(330) 915-2907
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Thomas Joseph Deiotte Jr
Gender	Male
Speciality	Counselor - Mental Health
Location	4522 Fulton Dr Nw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801386263
Provider Enumeration Date: 05/11/2018
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 2567815129
Enrollment ID: I20240130003163

Medical Identifiers

Medical identifiers for Mr Thomas Joseph Deiotte Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801386263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YS0200X	Counselor - School	OH3127488 (Ohio)	Secondary
101YM0800X	Counselor - Mental Health	C.1801098 (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 Thomas Joseph Deiotte Jr allows following entities to bill medicare on his behalf.

Entity Name	Wellness Grove Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043899859 PECOS PAC ID: 5092104109 Enrollment ID: O20211111000586

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 Thomas Joseph Deiotte 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 Thomas Joseph Deiotte Jr, MED, EDS, LPC 4200 Munson St Nw Ste A, Canton, OH 44718-2981 Ph: (330) 915-2907	Mr Thomas Joseph Deiotte Jr, MED, EDS, LPC 4522 Fulton Dr Nw, Canton, OH 44718 Ph: (330) 915-2907

Reviews and Comments

Counselor in Canton, OH

Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506
Zakree Buccitelli, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907

Mr Thomas Joseph Deiotte Jr, MED, EDS, LPC - Medicare Counselor in Canton, OH