Zelenia Olivia Pellat, LAC in Douglas, AZ - Medicare Counselor Provider

Zelenia Olivia Pellat, LAC is a medicare enrolled "Counselor - Mental Health" provider in Douglas, Arizona. Her current practice location is 1701 N Douglas Ave, Douglas, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 366-3133.

Zelenia Olivia Pellat is licensed to practice in Arizona (license number LPC-18363) 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 1750823555.

Contact Information

	Zelenia Olivia Pellat, LAC
	1701 N Douglas Ave, Douglas, AZ 85607-1019
	(520) 366-3133
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Zelenia Olivia Pellat
Gender	Female
Speciality	Counselor - Mental Health
Location	1701 N Douglas Ave, Douglas, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750823555
Provider Enumeration Date: 11/09/2016
Last Update Date: 11/12/2019

Medicare PECOS Information:

PECOS PAC ID: 0042755480
Enrollment ID: I20240710002716

Medical Identifiers

Medical identifiers for Zelenia Olivia Pellat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750823555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LAC-16360 (Arizona)	Secondary
101YM0800X	Counselor - Mental Health	LPC-18363 (Arizona)	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. Zelenia Olivia Pellat allows following entities to bill medicare on her behalf.

Entity Name	Community Partners Integrated Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669897385 PECOS PAC ID: 7315163938 Enrollment ID: O20140716002626

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. Zelenia Olivia Pellat 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
Zelenia Olivia Pellat, LAC 1701 N Douglas Ave, Douglas, AZ 85607-1019 Ph: (520) 366-3133	Zelenia Olivia Pellat, LAC 1701 N Douglas Ave, Douglas, AZ 85607-1019 Ph: (520) 366-3133

Reviews and Comments

Counselor in Douglas, AZ

Mrs. Betty Lynn Spering, LISAC, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221
Larry Corrales, Counselor Medicare: Medicare Enrolled Practice Location: 936 N F Ave Ste B, Douglas, AZ 85607 Phone: 520-364-3285
Natividad Cano, AGS, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221
Mr. Carlos G Quijada Sr., MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-366-3133 Fax: 520-364-2770
Ms. Candace Ilene Weingart, MA, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221
Walter Tucker, MS, LPC, NCC, BHP Counselor Medicare: Medicare Enrolled Practice Location: 2100 E 8th, Douglas, AZ 85607 Phone: 520-266-3304
Ms. Colleen Kay Mattson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221

Zelenia Olivia Pellat, LAC - Medicare Counselor in Douglas, AZ