Mrs Terri Jean Roman, LPC in Gilbert, AZ - Medicare Counselor Provider

Mrs Terri Jean Roman, LPC is a medicare enrolled "Counselor - Mental Health" provider in Gilbert, Arizona. Her current practice location is 1715 W Aspen Ave, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 343-4352.

Mrs Terri Jean Roman is licensed to practice in Arizona (license number LPC-12827) 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 1124216247.

Contact Information

	Mrs Terri Jean Roman, LPC
	1715 W Aspen Ave, Gilbert, AZ 85233-3502
	(480) 343-4352
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Terri Jean Roman
Gender	Female
Speciality	Counselor - Mental Health
Location	1715 W Aspen Ave, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124216247
Provider Enumeration Date: 10/15/2007
Last Update Date: 10/15/2007

Medicare PECOS Information:

PECOS PAC ID: 8325484249
Enrollment ID: I20240313002240

Medical Identifiers

Medical identifiers for Mrs Terri Jean Roman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124216247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC-12827 (Arizona)	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 Terri Jean Roman allows following entities to bill medicare on her behalf.

Entity Name	Gilbert Counselors Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366947558 PECOS PAC ID: 7416393335 Enrollment ID: O20240313002190

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 Terri Jean Roman 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 Terri Jean Roman, LPC 1715 W Aspen Ave, Gilbert, AZ 85233-3502 Ph: (480) 343-4352	Mrs Terri Jean Roman, LPC 1715 W Aspen Ave, Gilbert, AZ 85233-3502 Ph: (480) 343-4352

Reviews and Comments

Counselor in Gilbert, AZ

Jennifer Oetjen, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1075 S Agnes Ln, Gilbert, AZ 85296 Phone: 480-275-5700
Ms. Jean Kerr, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 880 N Colorado St, Gilbert, AZ 85233 Phone: 480-820-0825 Fax: 480-820-7863
Lauretta E Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4068 E Pecos Rd, Gilbert, AZ 85295 Phone: 480-279-7321 Fax: 480-279-7305
Emalee Grant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 E Warner Rd Ste 115, Gilbert, AZ 85296 Phone: 480-590-3915
Brian Theer, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3651 E Baseline Rd # E104, Gilbert, AZ 85234 Phone: 602-833-2829
Isabella C Moreno, SCHOOL PSYCHOLOGIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 913 E Hearne Way, Gilbert, AZ 85234 Phone: 480-892-2022
Craig Kent Dalton, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 690 E Warner Rd Ste 115, Gilbert, AZ 85296 Phone: 480-444-2434

Mrs Terri Jean Roman, LPC - Medicare Counselor in Gilbert, AZ