Tennyson Dewitt, LLPC in Grand Rapids, MI - Medicare Counselor Provider

Tennyson Dewitt, LLPC is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. Her current practice location is 648 Monroe Ave Nw Ste 100, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 916-3711.

Tennyson Dewitt is licensed to practice in Michigan (license number 6401017015) 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 1174087118.

Contact Information

	Tennyson Dewitt, LLPC
	648 Monroe Ave Nw Ste 100, Grand Rapids, MI 49503-6714
	(616) 916-3711
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tennyson Dewitt
Gender	Female
Speciality	Counselor - Professional
Location	648 Monroe Ave Nw Ste 100, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174087118
Provider Enumeration Date: 01/23/2019
Last Update Date: 01/23/2019

Medicare PECOS Information:

PECOS PAC ID: 5395193346
Enrollment ID: I20231130003562

Medical Identifiers

Medical identifiers for Tennyson Dewitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174087118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401017015 (Michigan)	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. Tennyson Dewitt allows following entities to bill medicare on her behalf.

Entity Name	Second Story Counseling Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013460716 PECOS PAC ID: 6204292063 Enrollment ID: O20230520000165

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. Tennyson Dewitt 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
Tennyson Dewitt, LLPC 7376 Arbol Dr Ne, Rockford, MI 49341-9477 Ph: () -	Tennyson Dewitt, LLPC 648 Monroe Ave Nw Ste 100, Grand Rapids, MI 49503-6714 Ph: (616) 916-3711

Reviews and Comments

Counselor in Grand Rapids, MI

Mrs. Dana Kay Anderson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-254-7741 Fax: 616-254-7750
Marilyn Dale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 Phone: 616-279-3869 Fax: 616-608-4657
Brittani Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-818-4803 Fax: 616-710-5176
Tao Chance Brown-edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000
Lauren Marie Snoeyink, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1295 68th St Se, Grand Rapids, MI 49508 Phone: 616-970-3724
Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284
Mrs. Marian Evelyn Lilly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-356-6247 Fax: 616-732-6392

Tennyson Dewitt, LLPC - Medicare Counselor in Grand Rapids, MI