Teresa Gayle Hultink, MA, LLPC in Grand Rapids, MI

Teresa Gayle Hultink, MA, LLPC is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. Her current practice location is 1514 Wealthy St Se Ste 242, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 228-8832.

Teresa Gayle Hultink is licensed to practice in Michigan (license number 6451019469) 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 1922774975.

Contact Information

	Teresa Gayle Hultink, MA, LLPC
	1514 Wealthy St Se Ste 242, Grand Rapids, MI 49506-2755
	(616) 228-8832
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Teresa Gayle Hultink
Gender	Female
Speciality	Counselor - Professional
Location	1514 Wealthy St Se Ste 242, 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: 1922774975
Provider Enumeration Date: 08/19/2021
Last Update Date: 08/19/2021

Medicare PECOS Information:

PECOS PAC ID: 1850743758
Enrollment ID: I20240116003837

Medical Identifiers

Medical identifiers for Teresa Gayle Hultink such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922774975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6451019469 (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. Teresa Gayle Hultink allows following entities to bill medicare on her behalf.

Entity Name	Bloom Behavioral Health Partners Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174176366 PECOS PAC ID: 3678959632 Enrollment ID: O20220929000772

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. Teresa Gayle Hultink 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
Teresa Gayle Hultink, MA, LLPC 273 Standish St, Holland, MI 49423-5294 Ph: (616) 848-1198	Teresa Gayle Hultink, MA, LLPC 1514 Wealthy St Se Ste 242, Grand Rapids, MI 49506-2755 Ph: (616) 228-8832

Reviews and Comments

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Teresa Gayle Hultink, MA, LLPC - Medicare Counselor in Grand Rapids, MI