Theresa A Douglas, MS, LPC-T in Janesville, WI

Theresa A Douglas, MS, LPC-T is a medicare enrolled "Counselor - Professional" provider in Janesville, Wisconsin. Her current practice location is 4539 Woodgate Dr Ste A8, Janesville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (818) 208-4774.

Theresa A Douglas 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 1376971226.

Contact Information

	Theresa A Douglas, MS, LPC-T
	4539 Woodgate Dr Ste A8, Janesville, WI 53546-8205
	(818) 208-4774
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa A Douglas
Gender	Female
Speciality	Counselor - Professional
Location	4539 Woodgate Dr Ste A8, Janesville, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376971226
Provider Enumeration Date: 10/30/2013
Last Update Date: 10/07/2024

Medicare PECOS Information:

PECOS PAC ID: 7719325141
Enrollment ID: I20240404002466

Medical Identifiers

Medical identifiers for Theresa A Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376971226	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. Theresa A Douglas allows following entities to bill medicare on her behalf.

Entity Name	Associates In Psychotherapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831448091 PECOS PAC ID: 8628222064 Enrollment ID: O20130212000056

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. Theresa A Douglas 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
Theresa A Douglas, MS, LPC-T 4539 Woodgate Dr Ste A8, Janesville, WI 53546-8205 Ph: (818) 208-4774	Theresa A Douglas, MS, LPC-T 4539 Woodgate Dr Ste A8, Janesville, WI 53546-8205 Ph: (818) 208-4774

Reviews and Comments

Counselor in Janesville, WI

Michael G Braun, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4502
Kamela D. Cisneros, Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 Fax: 608-756-0174
Carol Ann Ward, LPC,NCC Counselor Medicare: Medicare Enrolled Practice Location: 1519 Primrose Ln, Janesville, WI 53545 Phone: 608-752-7255 Fax: 608-752-6942
Ms. Christina Renee Mcginn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-847-7575
Tamra J Oman, CFT 14379130 Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Lane, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4516
Jayme St. John, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 S Franklin St, Janesville, WI 53548 Phone: 608-757-5625
Rebecca L Davis, LPC-IT, SAC Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6530 Fax: 608-756-6564

Theresa A Douglas, MS, LPC-T - Medicare Counselor in Janesville, WI