Raphilla D Dixie, in Fort Wayne, IN - Medicare Counselor Provider

Raphilla D Dixie, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Fort Wayne, Indiana. Her current practice location is 3005 E State Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 267-9498.

Raphilla D Dixie is licensed to practice in Indiana (license number 87001756A) 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 1003465873.

Contact Information

	Raphilla D Dixie,
	3005 E State Blvd, Fort Wayne, IN 46805-4736
	(260) 267-9498
	(260) 739-3618

Map and Direction

Healthcare Provider's Profile

Full Name	Raphilla D Dixie
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	3005 E State Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003465873
Provider Enumeration Date: 09/05/2019
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6002254109
Enrollment ID: I20240409002975

Medical Identifiers

Medical identifiers for Raphilla D Dixie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003465873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	87001756A (Indiana)	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. Raphilla D Dixie allows following entities to bill medicare on her behalf.

Entity Name	Cleanslate Medical Group Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515

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. Raphilla D Dixie 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
Raphilla D Dixie, 3005 E State Blvd, Fort Wayne, IN 46805-4736 Ph: (260) 267-9498	Raphilla D Dixie, 3005 E State Blvd, Fort Wayne, IN 46805-4736 Ph: (260) 267-9498

Reviews and Comments

Counselor in Fort Wayne, IN

Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778
Rachida Bejja, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10828 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-415-8267 Fax: 260-426-0270

Raphilla D Dixie, - Medicare Counselor in Fort Wayne, IN