Tara L Thiele, in Menomonie, WI - Medicare Counselor Provider

Tara L Thiele, is a medicare enrolled "Counselor - Mental Health" provider in Menomonie, Wisconsin. Her current practice location is 4076 Kothlow Ave, Menomonie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 235-4537.

Tara L Thiele is licensed to practice in * (Not Available) (license number ) 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 1720625049.

Contact Information

	Tara L Thiele,
	4076 Kothlow Ave, Menomonie, WI 54751-3090
	(715) 235-4537
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tara L Thiele
Gender	Female
Speciality	Counselor - Mental Health
Location	4076 Kothlow Ave, Menomonie, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720625049
Provider Enumeration Date: 12/05/2019
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0749623007
Enrollment ID: I20240205000346

Medical Identifiers

Medical identifiers for Tara L Thiele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720625049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	7668-125 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	7668-125 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Tara L Thiele allows following entities to bill medicare on her behalf.

Entity Name	Amery Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207

Entity Name	Amery Regional Medical Center Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1699003202 PECOS PAC ID: 2769391960 Enrollment ID: O20080929000736

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. Tara L Thiele 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
Tara L Thiele, 2502 Sunset Dr, Eau Claire, WI 54703-5850 Ph: (715) 563-8790	Tara L Thiele, 4076 Kothlow Ave, Menomonie, WI 54751-3090 Ph: (715) 235-4537

Reviews and Comments

Counselor in Menomonie, WI

Kiersten Lynette Buck, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166
Rachel Moe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166
Kelley Rae Mendalski, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166
Kelsey Eileen Trinkner, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3001 Us Highway 12 E Ste 160, Menomonie, WI 54751 Phone: 715-232-1116 Fax: 715-232-5987
Alethea Ann Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: N4762 State Road 25, Menomonie, WI 54751 Phone: 715-231-2010
Victoria Rose Perron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7116
Diane K. Delegard, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645

Tara L Thiele, - Medicare Counselor in Menomonie, WI