Teresa Macdavitt, LCPC in Ottawa, IL - Medicare Counselor Provider

Teresa Macdavitt, LCPC is a medicare enrolled "Counselor - Professional" provider in Ottawa, Illinois. Her current practice location is 747 E Etna Rd Unit B, Ottawa, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 993-1614.

Teresa Macdavitt 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 1760138242.

Contact Information

	Teresa Macdavitt, LCPC
	747 E Etna Rd Unit B, Ottawa, IL 61350-3777
	(815) 993-1614
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Teresa Macdavitt
Gender	Female
Speciality	Counselor - Professional
Location	747 E Etna Rd Unit B, Ottawa, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760138242
Provider Enumeration Date: 02/23/2022
Last Update Date: 02/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1355874272
Enrollment ID: I20241031000867

Medical Identifiers

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

Identifier	Type	State	Issuer
1760138242	NPI	-	NPPES

Medical Taxonomies and Licenses

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

Entity Name	Illinois Valley Counseling Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134568249 PECOS PAC ID: 0244467066 Enrollment ID: O20131224000001

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 Macdavitt 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 Macdavitt, LCPC 22 Oak Ridge Dr, La Salle, IL 61301-9648 Ph: () -	Teresa Macdavitt, LCPC 747 E Etna Rd Unit B, Ottawa, IL 61350-3777 Ph: (815) 993-1614

Reviews and Comments

Counselor in Ottawa, IL

Kaitlyn Rinke, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 727 E Etna Rd, Ottawa, IL 61350 Phone: 815-434-4727
Kristina Thrush, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 La Salle St, Ottawa, IL 61350 Phone: 815-324-2719 Fax: 630-703-1845
Ms. Carol Ruth Buckner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Drive, Ottawa, IL 61350 Phone: 815-434-4382 Fax: 815-431-5528
Ashley Holcman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 La Salle St, Ottawa, IL 61350 Phone: 630-708-0197
Nina Renee Miller, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 E Etna Rd, Ottawa, IL 61350 Phone: 815-993-1614
Whitney Nicole Flach, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 W Main St, Ottawa, IL 61350 Phone: 815-326-9502
Melinda Vesely, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 W Main St, Ottawa, IL 61350 Phone: 815-326-9502 Fax: 815-324-5102

Teresa Macdavitt, LCPC - Medicare Counselor in Ottawa, IL