Tamilyn D White, LPC, NCC in Hayward, WI - Medicare Counselor Provider

Tamilyn D White, LPC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Hayward, Wisconsin. Her current practice location is Northlakes Community Clinic, 15954 Rivers Edge Drive, Hayward, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 634-2541.

Tamilyn D White is licensed to practice in Wisconsin (license number 4272-125) 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 1750616124.

Contact Information

	Tamilyn D White, LPC, NCC
	Northlakes Community Clinic, 15954 Rivers Edge Drive, Hayward, WI 54843-5484
	(715) 634-2541
	(715) 934-5090

Map and Direction

Healthcare Provider's Profile

Full Name	Tamilyn D White
Gender	Female
Speciality	Counselor - Mental Health
Location	Northlakes Community Clinic, Hayward, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750616124
Provider Enumeration Date: 10/02/2009
Last Update Date: 02/26/2019

Medicare PECOS Information:

PECOS PAC ID: 7214388578
Enrollment ID: I20240111000178

Medical Identifiers

Medical identifiers for Tamilyn D White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750616124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4272-125 (Wisconsin)	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. Tamilyn D White allows following entities to bill medicare on her behalf.

Entity Name	The Lakes Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186

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. Tamilyn D White 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
Tamilyn D White, LPC, NCC 15954 Rivers Edge, 15954 Rivers Edge Drive, Hayward, WI 54843 Ph: (715) 634-2541	Tamilyn D White, LPC, NCC Northlakes Community Clinic, 15954 Rivers Edge Drive, Hayward, WI 54843-5484 Ph: (715) 634-2541

Reviews and Comments

Counselor in Hayward, WI

Beth E Achtor-loder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10592 Main Street, Hayward, WI 54843 Phone: 715-699-6062
Jenny A Ingram, MS,CSAC,IDP-AT,PSIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-638-5116 Fax: 715-638-6107
Alexandra Bice, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10594 Main St, Hayward, WI 54843 Phone: 715-934-1381
Dr. Lori Leanne Soli, PHD LPCC ACS BCTMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 10436 Bay Ave, Hayward, WI 54843 Phone: 858-952-9571
Elizabeth Anne Johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10594 Main Street #1021, Hayward, WI 54843 Phone: 715-416-1381 Fax: 715-934-2091
Kevin Lynch, LPC Counselor Medicare: Medicare Enrolled Practice Location: 15910 W Company Lake Rd, Hayward, WI 54843 Phone: 715-558-1274
Melinda L Johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 15954 Rivers Edge Dr, Hayward, WI 54843 Phone: 715-634-2541 Fax: 715-598-4881

Tamilyn D White, LPC, NCC - Medicare Counselor in Hayward, WI