Timothy Adli Kanaan, LPC in Paw Paw, MI - Medicare Counselor Provider

Timothy Adli Kanaan, LPC is a medicare enrolled "Counselor - Mental Health" provider in Paw Paw, Michigan. His current practice location is 816 E Michigan Ave Ste 103, Paw Paw, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 501-5829.

Timothy Adli Kanaan is licensed to practice in Michigan (license number 6401012892) 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 1346775269.

Contact Information

	Timothy Adli Kanaan, LPC
	816 E Michigan Ave Ste 103, Paw Paw, MI 49079
	(269) 501-5829
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Adli Kanaan
Gender	Male
Speciality	Counselor - Mental Health
Location	816 E Michigan Ave Ste 103, Paw Paw, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346775269
Provider Enumeration Date: 04/28/2017
Last Update Date: 06/08/2024

Medicare PECOS Information:

PECOS PAC ID: 0143566380
Enrollment ID: I20231219000298

Medical Identifiers

Medical identifiers for Timothy Adli Kanaan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346775269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401012892 (Michigan)	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. Timothy Adli Kanaan allows following entities to bill medicare on his behalf.

Entity Name	Kalamazoo County Community Mental Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710066253 PECOS PAC ID: 5890730337 Enrollment ID: O20050624000176

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. Timothy Adli Kanaan 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
Timothy Adli Kanaan, LPC 49324 Churchill St, Mattawan, MI 49071-8910 Ph: (269) 501-5829	Timothy Adli Kanaan, LPC 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 Ph: (269) 501-5829

Reviews and Comments

Counselor in Paw Paw, MI

Nicole Alayna Douglass, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 Phone: 269-815-8169
Andrina Jordan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St, Paw Paw, MI 49079 Phone: 269-655-3334 Fax: 269-657-6523
Rachel Rose Robertson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St Ste C, Paw Paw, MI 49079 Phone: 269-657-5574
Jason Vanlester, M.A, Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 E Michigan Ave, Paw Paw, MI 49079 Phone: 269-870-6919
Aaron Bronsink, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 W Michigan Ave, Suite 2, Paw Paw, MI 49079 Phone: 269-858-8230
Jessica Stephenson-parise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St, Suite C, Paw Paw, MI 49079 Phone: 269-655-3334 Fax: 269-657-6523

Timothy Adli Kanaan, LPC - Medicare Counselor in Paw Paw, MI