Tina Marie Milan, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Shasta Lake, California. Her current practice location is
4300 Fort Peck St, Shasta Lake, California. You can reach out to her office (for appointments etc.) via phone at
(530) 338-0087.
Tina Marie Milan is licensed to practice in California (license number LCSW88858) 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 1225470081.
Healthcare Provider's Profile
Full Name | Tina Marie Milan |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 4300 Fort Peck St, Shasta Lake, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225470081
- Provider Enumeration Date: 07/22/2013
- Last Update Date: 08/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204187933
- Enrollment ID: I20180919002991
Medical Identifiers
Medical identifiers for Tina Marie Milan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225470081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW35034 (California) | Secondary |
101YM0800X | Counselor - Mental Health | 88858 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 00279697 (California) | Secondary |
101YM0800X | Counselor - Mental Health | LCSW88858 (California) | 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. Tina Marie Milan allows following entities to bill medicare on her behalf.
Entity Name | Parish Health And Wellness Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215472428 PECOS PAC ID: 4880941426 Enrollment ID: O20180727001058 |
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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. Tina Marie Milan 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 |
Tina Marie Milan, LCSW Po Box 1423, Shasta Lake, CA 96019-1423 Ph: (530) 528-2342 | Tina Marie Milan, LCSW 4300 Fort Peck St, Shasta Lake, CA 96019-9286 Ph: (530) 338-0087 |
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