Teresa I Judy, LCSW, LIMHP is a medicare enrolled "Social Worker - Clinical" provider in Fort Carson, Colorado. Her current practice location is
6541 Specker Ave, Building 1830, Fort Carson, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 503-7829.
Teresa I Judy is licensed to practice in Nebraska (license number 1399) 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 1306018833.
Healthcare Provider's Profile
| Full Name | Teresa I Judy |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6541 Specker Ave, Fort Carson, Colorado |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1306018833
- Provider Enumeration Date: 03/25/2008
- Last Update Date: 02/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931355047
- Enrollment ID: I20120806000396
Medical Identifiers
Medical identifiers for Teresa I Judy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306018833 | NPI | - | NPPES |
| 1399 | Other | NE | NEBRASKA DEPT OF HEALTH AND HUMAN SERVICES |
| 1025 | Other | NE | NEBRASKA DEPT OF HEALTH AND HUMAN SERVICES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1025 (Nebraska) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1399 (Nebraska) | 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 I Judy allows following entities to bill medicare on her behalf.
| Entity Name | Envision Counseling Center, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1265674972
PECOS PAC ID: 3971759069
Enrollment ID: O20120806000236 |
|---|
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 I Judy 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 I Judy, LCSW, LIMHP
6541 Specker Ave, Building 1830,
Colorado Springs, CO 80913-4263
Ph: (719) 503-7844 | Teresa I Judy, LCSW, LIMHP
6541 Specker Ave, Building 1830,
Fort Carson, CO 80913-4263
Ph: (719) 503-7829 |
Reviews and Comments