Mr David Gerald Raquet, MA LMFT, LLP is a medicare enrolled "Psychologist" provider in Fremont, Michigan. His current practice location is
409 Cherokee Dr, Fremont, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 245-7945.
Mr David Gerald Raquet is licensed to practice in Michigan (license number 6301014324) 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 1205952009.
Healthcare Provider's Profile
Full Name | Mr David Gerald Raquet |
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Gender | Male |
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Speciality | Psychologist |
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Location | 409 Cherokee Dr, Fremont, 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: 1205952009
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426400268
- Enrollment ID: I20240117003905
Medical Identifiers
Medical identifiers for Mr David Gerald Raquet such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205952009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 4101006243 (Michigan) | Secondary |
103T00000X | Psychologist | 6301014324 (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. Mr David Gerald Raquet allows following entities to bill medicare on his behalf.
Entity Name | Family & Life Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922256213 PECOS PAC ID: 2365894193 Enrollment ID: O20240117003703 |
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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. Mr David Gerald Raquet 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 |
Mr David Gerald Raquet, MA LMFT, LLP 409 Cherokee Dr, Fremont, MI 49412-1719 Ph: (231) 245-7945 | Mr David Gerald Raquet, MA LMFT, LLP 409 Cherokee Dr, Fremont, MI 49412-1719 Ph: (231) 245-7945 |
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