Ms Tamara K Pettingill, LCSW in Idaho Falls, ID

Ms Tamara K Pettingill, LCSW is a medicare enrolled "Counselor" provider in Idaho Falls, Idaho. Her current practice location is 1302 E 17th St, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 542-9199.

Ms Tamara K Pettingill is licensed to practice in Idaho (license number LCSW-24477) 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 1629081864.

Contact Information

	Ms Tamara K Pettingill, LCSW
	1302 E 17th St, Idaho Falls, ID 83404-6270
	(208) 542-9199
	(208) 542-6272

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tamara K Pettingill
Gender	Female
Speciality	Counselor
Location	1302 E 17th St, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629081864
Provider Enumeration Date: 08/15/2006
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 8527093996
Enrollment ID: I20051012000496

Medical Identifiers

Medical identifiers for Ms Tamara K Pettingill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629081864	NPI	-	NPPES
806864000	Medicaid	ID
806836700	Medicaid	ID
806803500	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101Y00000X	Counselor	LCSW-24477 (Idaho)	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 Tamara K Pettingill allows following entities to bill medicare on her behalf.

Entity Name	Pettingill Counseling Services Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891919890 PECOS PAC ID: 9133598501 Enrollment ID: O20221206002540

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 Tamara K Pettingill 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 Tamara K Pettingill, LCSW 1302 E 17th St, Idaho Falls, ID 83404-6270 Ph: (208) 542-9199	Ms Tamara K Pettingill, LCSW 1302 E 17th St, Idaho Falls, ID 83404-6270 Ph: (208) 542-9199

Reviews and Comments

Counselor in Idaho Falls, ID

Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712
Jennie R Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727
Mr. Richard A Troyer, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3760 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-524-4953 Fax: 208-524-7335
Kirk Thiemann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727

Ms Tamara K Pettingill, LCSW - Medicare Counselor in Idaho Falls, ID