Tessa Gutierrez, LSCSW, LCAC is a medicare enrolled "Social Worker - Clinical" provider in Junction City, Kansas. Her current practice location is
929 S Washington St., Junction City, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 802-9024.
Tessa Gutierrez is licensed to practice in Kansas (license number 4207) 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 1073834602.
Healthcare Provider's Profile
| Full Name | Tessa Gutierrez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 929 S Washington St., Junction City, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073834602
- Provider Enumeration Date: 06/17/2010
- Last Update Date: 08/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890937577
- Enrollment ID: I20130808000427
Medical Identifiers
Medical identifiers for Tessa Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073834602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 524 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4207 (Kansas) | 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. Tessa Gutierrez allows following entities to bill medicare on her behalf.
| Entity Name | New Leaf Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952914129
PECOS PAC ID: 6608279500
Enrollment ID: O20210729003395 |
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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. Tessa Gutierrez 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 |
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Tessa Gutierrez, LSCSW, LCAC
929 S Washington St.,
Junction City, KS 66441
Ph: (785) 802-9024 | Tessa Gutierrez, LSCSW, LCAC
929 S Washington St.,
Junction City, KS 66441
Ph: (785) 802-9024 |
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