Ms Samantha D Tyree, MA, LPC in Minooka, IL - Medicare Counselor Provider

Ms Samantha D Tyree, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Minooka, Illinois. Her current practice location is 109 White Ln, Apt 1, Minooka, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 955-9068.

Ms Samantha D Tyree is licensed to practice in Illinois (license number 178.012030) 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 1255780102.

Contact Information

	Ms Samantha D Tyree, MA, LPC
	109 White Ln, Apt 1, Minooka, IL 60447-9307
	(815) 955-9068
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Samantha D Tyree
Gender	Female
Speciality	Counselor - Professional
Location	109 White Ln, Minooka, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255780102
Provider Enumeration Date: 06/10/2016
Last Update Date: 06/10/2016

Medicare PECOS Information:

PECOS PAC ID: 6709223126
Enrollment ID: I20240321001073

Medical Identifiers

Medical identifiers for Ms Samantha D Tyree such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255780102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178.012030 (Illinois)	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. Ms Samantha D Tyree allows following entities to bill medicare on her behalf.

Entity Name	Alliance Counseling & Coaching Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063867257 PECOS PAC ID: 5496093213 Enrollment ID: O20190220001796

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. Ms Samantha D Tyree 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
Ms Samantha D Tyree, MA, LPC 109 White Ln, Apt 1, Minooka, IL 60447-9307 Ph: (815) 955-9068	Ms Samantha D Tyree, MA, LPC 109 White Ln, Apt 1, Minooka, IL 60447-9307 Ph: (815) 955-9068

Reviews and Comments

Counselor in Minooka, IL

Carrie Ann Skubic, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 W. Wapella St., Suite 2, Minooka, IL 60447 Phone: 814-467-9810
Jessica Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: Evolve Therapeutic Services Center, 304 W. Mondamin St. #104, Minooka, IL 60447 Phone: 815-274-7308
Cody Corradino, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 W Mondamin St Ste 104, Minooka, IL 60447 Phone: 708-465-1123
Garilynn Winterbottom, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Prairie View Dr, Minooka, IL 60447 Phone: 181-551-4041
Ms. Monica Lee Jasper, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 W Mondamin St Ste 104, Minooka, IL 60447 Phone: 815-274-7308
Mrs. Gina M Abbeduto, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 N. Osceola, Minooka, IL 60447 Phone: 815-521-9496 Fax: 815-521-9496

Ms Samantha D Tyree, MA, LPC - Medicare Counselor in Minooka, IL