Tony J Graveline, LADC in Derby, VT - Medicare Counselor Provider

Tony J Graveline, LADC is a medicare enrolled "Counselor - Mental Health" provider in Derby, Vermont. His current practice location is 181 Crawford Road, Derby, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 334-6744.

Tony J Graveline is licensed to practice in Vermont (license number 0680101473) 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 1023316494.

Contact Information

	Tony J Graveline, LADC
	181 Crawford Road, Derby, VT 05829
	(802) 334-6744
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tony J Graveline
Gender	Male
Speciality	Counselor - Mental Health
Location	181 Crawford Road, Derby, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023316494
Provider Enumeration Date: 03/08/2011
Last Update Date: 09/05/2014

Medicare PECOS Information:

PECOS PAC ID: 4587017702
Enrollment ID: I20240124001923

Medical Identifiers

Medical identifiers for Tony J Graveline such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023316494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0680101473 (Vermont)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	000526 (Vermont)	Secondary

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. Tony J Graveline allows following entities to bill medicare on his behalf.

Entity Name	Savida Health, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598225021 PECOS PAC ID: 4082809967 Enrollment ID: O20180807001812

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. Tony J Graveline 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
Tony J Graveline, LADC Po Box 724, Newport, VT 05855 Ph: (802) 334-6744	Tony J Graveline, LADC 181 Crawford Road, Derby, VT 05829 Ph: (802) 334-6744

Reviews and Comments

Counselor in Derby, VT

Mr. Chad Christopher Patten, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3957 Vt Route 105, Derby, VT 05829 Phone: 802-673-2881
Ashley Sevigny, Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 Cawford Road, Derby, VT 05829 Phone: 802-334-6744 Fax: 802-334-7340
Jessica R Judd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Stagecoach Ln, Derby, VT 05829 Phone: 802-274-8723
Kristen Elizabeth Watson, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4095 Gore Rd, Derby, VT 05829 Phone: 802-895-4166
Aaron Billings, Counselor Medicare: Medicare Enrolled Practice Location: 181 Crawford Road, Derby, VT 05829 Phone: 802-334-6744
Deborah Sue Bianchi, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3212 Us Route 5, Derby, VT 05829 Phone: 802-323-4677 Fax: 802-766-2620

Tony J Graveline, LADC - Medicare Counselor in Derby, VT