Mrs Heather Marie Ionetz, MA is a medicare enrolled "Behavior Analyst" provider in Southfield, Michigan. Her current practice location is
24681 Northwestern Hwy Ste 2006, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 579-3119.
Mrs Heather Marie Ionetz is licensed to practice in Michigan (license number 7401000142) 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 1073763207.
Healthcare Provider's Profile
Full Name | Mrs Heather Marie Ionetz |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 24681 Northwestern Hwy Ste 2006, Southfield, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073763207
- Provider Enumeration Date: 09/24/2008
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193175511
- Enrollment ID: I20231228000373
Medical Identifiers
Medical identifiers for Mrs Heather Marie Ionetz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073763207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 6401011090 (Michigan) | Secondary |
103K00000X | Behavior Analyst | 1-16-21559 (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 7401000142 (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. Mrs Heather Marie Ionetz allows following entities to bill medicare on her behalf.
Entity Name | North Country Community Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053474015 PECOS PAC ID: 8820052095 Enrollment ID: O20041117000388 |
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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 Heather Marie Ionetz 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 Heather Marie Ionetz, MA 1557 Stonycroft Rd, Gaylord, MI 49735 Ph: (810) 569-2800 | Mrs Heather Marie Ionetz, MA 24681 Northwestern Hwy Ste 2006, Southfield, MI 48075 Ph: (248) 579-3119 |
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