Mrs Grete Antonia Heatherly, LPCC-S in Alliance, OH

Mrs Grete Antonia Heatherly, LPCC-S is a medicare enrolled "Counselor - Professional" provider in Alliance, Ohio. Her current practice location is 1207 W State St Ste M, Alliance, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 821-8407.

Mrs Grete Antonia Heatherly is licensed to practice in Ohio (license number E.1100472-SUPV) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295007409.

Contact Information

	Mrs Grete Antonia Heatherly, LPCC-S
	1207 W State St Ste M, Alliance, OH 44601-4686
	(330) 821-8407
	(330) 821-8506

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Grete Antonia Heatherly
Gender	Female
Speciality	Counselor - Professional
Location	1207 W State St Ste M, Alliance, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295007409
Provider Enumeration Date: 02/02/2012
Last Update Date: 04/26/2021

Medicare PECOS Information:

PECOS PAC ID: 1850741893
Enrollment ID: I20240103001380

Medical Identifiers

Medical identifiers for Mrs Grete Antonia Heatherly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295007409	NPI	-	NPPES
0182192	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.1100472-SUPV (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. Mrs Grete Antonia Heatherly allows following entities to bill medicare on her behalf.

Entity Name	Commquest Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730168311 PECOS PAC ID: 9335110824 Enrollment ID: O20040805001641

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. Mrs Grete Antonia Heatherly 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
Mrs Grete Antonia Heatherly, LPCC-S 625 Cleveland Ave Nw, Canton, OH 44702-1805 Ph: (330) 453-8252	Mrs Grete Antonia Heatherly, LPCC-S 1207 W State St Ste M, Alliance, OH 44601-4686 Ph: (330) 821-8407

Reviews and Comments

Counselor in Alliance, OH

Bryan Jeffrey Eshelman, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088
Peter Joseph Botti, LISW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1207 W State St Ste M, Alliance, OH 44601 Phone: 330-821-8407 Fax: 330-821-8506
Jeffery J Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088
Patricia L Mangus, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 12402 Cartway St Ne, Alliance, OH 44601 Phone: 330-614-8706
Stephanie L Henschen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 S Arch Ave, Alliance, OH 44601 Phone: 330-821-3961 Fax: 330-884-6120
Jennifer N Berlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1207 W State St Ste M, Alliance, OH 44601 Phone: 330-821-8407 Fax: 330-821-8506
Arnold Montgomery, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E State St Fl 3, Alliance, OH 44601 Phone: 330-821-8503 Fax: 330-627-0088

Mrs Grete Antonia Heatherly, LPCC-S - Medicare Counselor in Alliance, OH