Mrs Tabbethia A Squezello, is a medicare enrolled "Marriage & Family Therapist" provider in Niles, Ohio. Her current practice location is
115 Mistletoe Rd, Niles, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 544-8005.
Mrs Tabbethia A Squezello is licensed to practice in Ohio (license number F.1800077) 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 1154757300.
Healthcare Provider's Profile
Full Name | Mrs Tabbethia A Squezello |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 115 Mistletoe Rd, Niles, Ohio |
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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: 1154757300
- Provider Enumeration Date: 09/19/2013
- Last Update Date: 08/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799137436
- Enrollment ID: I20240118002678
Medical Identifiers
Medical identifiers for Mrs Tabbethia A Squezello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154757300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | F.1800077 (Ohio) | 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. Mrs Tabbethia A Squezello allows following entities to bill medicare on her behalf.
Entity Name | Psy-care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396705349 PECOS PAC ID: 9335136795 Enrollment ID: O20040428000034 |
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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. Mrs Tabbethia A Squezello 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 |
Mrs Tabbethia A Squezello, 115 Mistletoe Rd, Niles, OH 44446-2352 Ph: (330) 349-4947 | Mrs Tabbethia A Squezello, 115 Mistletoe Rd, Niles, OH 44446-4444 Ph: (330) 544-8005 |
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