Timothy Gilleand, in Fort Wayne, IN - Medicare Counselor Provider

Timothy Gilleand, is a medicare enrolled "Counselor - Mental Health" provider in Fort Wayne, Indiana. His current practice location is 4150 Illinois Rd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (877) 594-9204.

Timothy Gilleand is licensed to practice in Indiana (license number 39003378A) 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 1598233827.

Contact Information

	Timothy Gilleand,
	4150 Illinois Rd, Fort Wayne, IN 46804-1208
	(877) 594-9204
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Gilleand
Gender	Male
Speciality	Counselor - Mental Health
Location	4150 Illinois Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598233827
Provider Enumeration Date: 11/05/2018
Last Update Date: 11/05/2018

Medicare PECOS Information:

PECOS PAC ID: 5991155111
Enrollment ID: I20231229000378

Medical Identifiers

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

Identifier	Type	State	Issuer
1598233827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39003378A (Indiana)	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 Gilleand allows following entities to bill medicare on his behalf.

Entity Name	Renovate Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689135279 PECOS PAC ID: 6103246376 Enrollment ID: O20201009001472

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 Gilleand 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 Gilleand, 360 Poplar St, Huntington, IN 46750-2638 Ph: (574) 850-3501	Timothy Gilleand, 4150 Illinois Rd, Fort Wayne, IN 46804-1208 Ph: (877) 594-9204

Reviews and Comments

Counselor in Fort Wayne, IN

Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778
Rachida Bejja, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10828 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-415-8267 Fax: 260-426-0270

Timothy Gilleand, - Medicare Counselor in Fort Wayne, IN