Theresa Gill, LPCC in Mentor, OH - Medicare Counselor Provider

Theresa Gill, LPCC is a medicare enrolled "Counselor" provider in Mentor, Ohio. Her current practice location is 7232 Justin Way, Mentor, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 578-8200.

Theresa Gill is licensed to practice in Ohio (license number E.1800746) 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 1003420076.

Contact Information

	Theresa Gill, LPCC
	7232 Justin Way, Mentor, OH 44060-4881
	(440) 578-8200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Gill
Gender	Female
Speciality	Counselor
Location	7232 Justin Way, Mentor, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003420076
Provider Enumeration Date: 09/07/2020
Last Update Date: 07/11/2021

Medicare PECOS Information:

PECOS PAC ID: 6507216843
Enrollment ID: I20231228001308

Medical Identifiers

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

Identifier	Type	State	Issuer
1003420076	NPI	-	NPPES
0416997	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.1800746 (Ohio)	Secondary
101Y00000X	Counselor	E.1800746 (Ohio)	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 Gill allows following entities to bill medicare on her behalf.

Entity Name	Signature Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762

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 Gill 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 Gill, LPCC 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200	Theresa Gill, LPCC 7232 Justin Way, Mentor, OH 44060-4881 Ph: (440) 578-8200

Reviews and Comments

Counselor in Mentor, OH

Ashley Nichole Focht, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200
Mrs. Fatimaah D Fullilove, LSW, LICDC Counselor Medicare: Medicare Enrolled Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200
Ms. Loretta M. George, M.ED., P.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7244 Hopkins Rd, Mentor, OH 44060 Phone: 440-773-0563
Merav K. Auzenne, MA PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8445 Munson Rd, Mentor, OH 44060 Phone: 440-255-1700 Fax: 440-205-2417
Kimberlee Bizup, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200
Ivy Novosel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Justin Way, Mentor, OH 44060 Phone: 440-578-8200

Theresa Gill, LPCC - Medicare Counselor in Mentor, OH