Dr Vanessa Lashalle Wilder, LPC in Redford, MI

Dr Vanessa Lashalle Wilder, LPC is a medicare enrolled "Counselor" provider in Redford, Michigan. Her current practice location is 9315 Telegraph Rd, Redford, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 450-4500.

Dr Vanessa Lashalle Wilder is licensed to practice in Michigan (license number 640101048) 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 1912305558.

Contact Information

	Dr Vanessa Lashalle Wilder, LPC
	9315 Telegraph Rd, Redford, MI 48239-1260
	(313) 450-4500
	(313) 450-4512

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Vanessa Lashalle Wilder
Gender	Female
Speciality	Counselor
Location	9315 Telegraph Rd, Redford, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912305558
Provider Enumeration Date: 12/14/2014
Last Update Date: 03/03/2022

Medicare PECOS Information:

PECOS PAC ID: 6800193905
Enrollment ID: I20240327000952

Medical Identifiers

Medical identifiers for Dr Vanessa Lashalle Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912305558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401011048 (Michigan)	Secondary
101Y00000X	Counselor	640101048 (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. Dr Vanessa Lashalle Wilder allows following entities to bill medicare on her behalf.

Entity Name	Lincoln Behavioral Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669451944 PECOS PAC ID: 7113816612 Enrollment ID: O20040312000689

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. Dr Vanessa Lashalle Wilder 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
Dr Vanessa Lashalle Wilder, LPC 2677 Martin Luther King Jr Blvd, Detroit, MI 48208-2562 Ph: (313) 300-5045	Dr Vanessa Lashalle Wilder, LPC 9315 Telegraph Rd, Redford, MI 48239-1260 Ph: (313) 450-4500

Reviews and Comments

Counselor in Redford, MI

Mrs. Joyce Ann Gulley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26150 5 Mile Rd, Redford, MI 48239 Phone: 313-433-0326 Fax: 313-342-9442
Monet Robinson, Counselor Medicare: Medicare Enrolled Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4513
Sarah Brookins, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9315 Telegraph Road, Redford, MI 48239 Phone: 313-450-4500
Miss Vicki K Veasy, MS, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-490-4500 Fax: 313-450-4514
Stacia Dorita Collins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500
Ronda Rhea Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-937-9500 Fax: 313-937-9500
Andrea Christell Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500

Dr Vanessa Lashalle Wilder, LPC - Medicare Counselor in Redford, MI