Terry Basolo, MPA, MA in Seattle, WA - Medicare Counselor Provider

Terry Basolo, MPA, MA is a medicare enrolled "Counselor - Mental Health" provider in Seattle, Washington. His current practice location is 1000 Minor Ave Apt 1404, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (208) 720-6253.

Terry Basolo is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336527027.

Contact Information

	Terry Basolo, MPA, MA
	1000 Minor Ave Apt 1404, Seattle, WA 98104-1398
	(208) 720-6253
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Terry Basolo
Gender	Male
Speciality	Counselor - Mental Health
Location	1000 Minor Ave Apt 1404, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336527027
Provider Enumeration Date: 05/13/2015
Last Update Date: 05/13/2015

Medicare PECOS Information:

PECOS PAC ID: 3274977673
Enrollment ID: I20240213003865

Medical Identifiers

Medical identifiers for Terry Basolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336527027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Terry Basolo allows following entities to bill medicare on his behalf.

Entity Name	Suquamish Tribal
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083747216 PECOS PAC ID: 3173975893 Enrollment ID: O20240216001062

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. Terry Basolo 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
Terry Basolo, MPA, MA 1000 Minor Ave Apt 1404, Seattle, WA 98104-1398 Ph: (208) 720-6253	Terry Basolo, MPA, MA 1000 Minor Ave Apt 1404, Seattle, WA 98104-1398 Ph: (208) 720-6253

Reviews and Comments

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Terry Basolo, MPA, MA - Medicare Counselor in Seattle, WA