Alicia Driesenga, LLMFT is a medicare enrolled "Marriage & Family Therapist" provider in Byron Center, Michigan. Her current practice location is
1410 84th St Sw, Byron Center, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 222-0631.
Alicia Driesenga is licensed to practice in Michigan (license number 4151001070) 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 1952097123.
Healthcare Provider's Profile
Full Name | Alicia Driesenga |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1410 84th St Sw, Byron Center, Michigan |
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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: 1952097123
- Provider Enumeration Date: 04/12/2023
- Last Update Date: 04/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597104802
- Enrollment ID: I20240419001099
Medical Identifiers
Medical identifiers for Alicia Driesenga such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952097123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 4151001070 (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. Alicia Driesenga allows following entities to bill medicare on her behalf.
Entity Name | Burke Group Counseling & Consulting Professionals Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639593627 PECOS PAC ID: 6103190335 Enrollment ID: O20170926003925 |
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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. Alicia Driesenga 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 |
Alicia Driesenga, LLMFT 1410 84th St Sw, Byron Center, MI 49315-9344 Ph: (616) 222-0631 | Alicia Driesenga, LLMFT 1410 84th St Sw, Byron Center, MI 49315-9344 Ph: (616) 222-0631 |
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