Tonyetta L Ross, LPC, CSAC in Milwaukee, WI - Medicare Counselor Provider

Tonyetta L Ross, LPC, CSAC is a medicare enrolled "Counselor - Professional" provider in Milwaukee, Wisconsin. Her current practice location is 5330 W Villard Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 488-6291.

Tonyetta L Ross is licensed to practice in * (Not Available) (license number ) 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 1003132473.

Contact Information

	Tonyetta L Ross, LPC, CSAC
	5330 W Villard Ave, Milwaukee, WI 53218-4345
	(414) 488-6291
	(414) 488-6293

Map and Direction

Healthcare Provider's Profile

Full Name	Tonyetta L Ross
Gender	Female
Speciality	Counselor - Professional
Location	5330 W Villard Ave, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003132473
Provider Enumeration Date: 04/10/2010
Last Update Date: 12/12/2019

Medicare PECOS Information:

PECOS PAC ID: 1052751583
Enrollment ID: I20240501002923

Medical Identifiers

Medical identifiers for Tonyetta L Ross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003132473	NPI	-	NPPES
12088599	Other	WI	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	16074-132 (Wisconsin)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	7597-125 (Wisconsin)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	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. Tonyetta L Ross allows following entities to bill medicare on her behalf.

Entity Name	Abg Wellness Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184087389 PECOS PAC ID: 0345536785 Enrollment ID: O20160909002340

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. Tonyetta L Ross 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
Tonyetta L Ross, LPC, CSAC 1711 W Clayton Crest Ave, Milwaukee, WI 53221-3830 Ph: (414) 690-0672	Tonyetta L Ross, LPC, CSAC 5330 W Villard Ave, Milwaukee, WI 53218-4345 Ph: (414) 488-6291

Reviews and Comments

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Tonyetta L Ross, LPC, CSAC - Medicare Counselor in Milwaukee, WI