Tenneille Ely, LMFT in Peoria, IL - Medicare Marriage & Family Therapist Provider

Tenneille Ely, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Peoria, Illinois. Her current practice location is 3716 W Brighton Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 692-7755.

Tenneille Ely 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 1508571019.

Contact Information

	Tenneille Ely, LMFT
	3716 W Brighton Ave, Peoria, IL 61615-2938
	(309) 692-7755
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tenneille Ely
Gender	Female
Speciality	Marriage & Family Therapist
Location	3716 W Brighton Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508571019
Provider Enumeration Date: 01/18/2023
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 2163867110
Enrollment ID: I20240229000606

Medical Identifiers

Medical identifiers for Tenneille Ely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508571019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (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. Tenneille Ely allows following entities to bill medicare on her behalf.

Entity Name	John Day & Associates, Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245454313 PECOS PAC ID: 0446201693 Enrollment ID: O20050927001346

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. Tenneille Ely 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
Tenneille Ely, LMFT 3716 W Brighton Ave, Peoria, IL 61615-2938 Ph: (309) 692-7755	Tenneille Ely, LMFT 3716 W Brighton Ave, Peoria, IL 61615-2938 Ph: (309) 692-7755

Reviews and Comments

Marriage & Family Therapist in Peoria, IL

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Tenneille Ely, LMFT - Medicare Couples Therapy in Peoria, IL