Ms Tera Lee Middlebrook, LMHC in Longview, WA

Ms Tera Lee Middlebrook, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Longview, Washington. Her current practice location is 1615 Delaware St, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 414-2385.

Ms Tera Lee Middlebrook is licensed to practice in Washington (license number 60473719) 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 1740471911.

Contact Information

	Ms Tera Lee Middlebrook, LMHC
	1615 Delaware St, Longview, WA 98632-2367
	(360) 414-2385
	(360) 414-2386

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tera Lee Middlebrook
Gender	Female
Speciality	Counselor - Mental Health
Location	1615 Delaware St, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740471911
Provider Enumeration Date: 08/05/2007
Last Update Date: 01/24/2023

Medicare PECOS Information:

PECOS PAC ID: 8426443714
Enrollment ID: I20240115000709

Medical Identifiers

Medical identifiers for Ms Tera Lee Middlebrook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740471911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	60473719 (Washington)	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 Tera Lee Middlebrook allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272

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 Tera Lee Middlebrook 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 Tera Lee Middlebrook, LMHC 103 Elloway Oaks Dr, Chehalis, WA 98532-9270 Ph: (360) 918-6959	Ms Tera Lee Middlebrook, LMHC 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2385

Reviews and Comments

Counselor in Longview, WA

Mohammed Yunus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Danielle L Jenkins Thompson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 14th Ave, Longview, WA 98632 Phone: 360-423-0203
Marena Berishev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419
Mrs. Michelle Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0269
Melissa Jarvis, Counselor Medicare: Medicare Enrolled Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-577-0187
Rachel A Gaines, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 14th Ave, Longview, WA 98632 Phone: 360-200-5419 Fax: 360-200-6736
Charlotte Anne Rosen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1157 3rd Ave, Suite 100, Longview, WA 98632 Phone: 360-636-5653

Ms Tera Lee Middlebrook, LMHC - Medicare Counselor in Longview, WA