Mr Tim Daniel Davis, LPC in Freeland, MI - Medicare Counselor Provider

Mr Tim Daniel Davis, LPC is a medicare enrolled "Counselor - Professional" provider in Freeland, Michigan. His current practice location is 8702 Wandering Way, Freeland, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 999-8463.

Mr Tim Daniel Davis is licensed to practice in Michigan (license number 6401019625) 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 1154670735.

Contact Information

	Mr Tim Daniel Davis, LPC
	8702 Wandering Way, Freeland, MI 48623-9557
	(989) 999-8463
	(989) 266-1440

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Tim Daniel Davis
Gender	Male
Speciality	Counselor - Professional
Location	8702 Wandering Way, Freeland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154670735
Provider Enumeration Date: 08/29/2012
Last Update Date: 11/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9234587023
Enrollment ID: I20231205001686

Medical Identifiers

Medical identifiers for Mr Tim Daniel Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154670735	NPI	-	NPPES
LPC.0003379	Other	CO	LPC
6401019625	Other	MI	LPC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC.0003379 (Colorado)	Secondary
101YP2500X	Counselor - Professional	6401019625 (Michigan)	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 Tim Daniel Davis allows following entities to bill medicare on his behalf.

Entity Name	Your Time Behavioral & Mental Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669179545 PECOS PAC ID: 6002272895 Enrollment ID: O20230522000743

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 Tim Daniel Davis 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 Tim Daniel Davis, LPC Po Box 210, Freeland, MI 48623-0210 Ph: (989) 999-8463	Mr Tim Daniel Davis, LPC 8702 Wandering Way, Freeland, MI 48623-9557 Ph: (989) 999-8463

Reviews and Comments

Counselor in Freeland, MI

Schanda Tarkowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4328 E Freeland Rd, Freeland, MI 48623 Phone: 989-492-0404 Fax: 989-672-5649
Nancy Chin, LLBSW, CAC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 6840 Midland Rd., Freeland, MI 48623 Phone: 989-692-2160 Fax: 989-692-2165
Thomas L French, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6840 Midland Rd, Freeland, MI 48623 Phone: 989-692-2160 Fax: 989-692-2165
Christina Spaulding, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6840 Midland Rd, Freeland, MI 48623 Phone: 989-402-8433
Mrs. Carrie Y Dudley, MS, LPC, DP-C Counselor Medicare: Medicare Enrolled Practice Location: 8702 Wandering Way, Freeland, MI 48623 Phone: 989-999-8463 Fax: 989-266-1440
Terri Whitehead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6840 Midland Rd., Freeland, MI 48623 Phone: 989-692-2160 Fax: 989-692-2165

Mr Tim Daniel Davis, LPC - Medicare Counselor in Freeland, MI