Tierra Youngblood-field, in Grand Rapids, MI - Medicare Counselor Provider

Tierra Youngblood-field, is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. Her current practice location is 790 Fuller Ave Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 336-3909.

Tierra Youngblood-field is licensed to practice in Michigan (license number 6401017826) 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 1346757762.

Contact Information

	Tierra Youngblood-field,
	790 Fuller Ave Ne, Grand Rapids, MI 49503-1918
	(616) 336-3909
	(616) 336-8830

Map and Direction

Healthcare Provider's Profile

Full Name	Tierra Youngblood-field
Gender	Female
Speciality	Counselor - Professional
Location	790 Fuller Ave Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346757762
Provider Enumeration Date: 01/08/2018
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6709262207
Enrollment ID: I20240524000906

Medical Identifiers

Medical identifiers for Tierra Youngblood-field such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346757762	NPI	-	NPPES
1346757762	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	4101006746 (Michigan)	Secondary
106H00000X	Marriage & Family Therapist	4101007120 (Michigan)	Secondary
101YP2500X	Counselor - Professional	6401017826 (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. Tierra Youngblood-field allows following entities to bill medicare on her behalf.

Entity Name	Kent County Cmh Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588935068 PECOS PAC ID: 9436314143 Enrollment ID: O20120703000167

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. Tierra Youngblood-field 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
Tierra Youngblood-field, 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 Ph: (616) 336-3909	Tierra Youngblood-field, 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 Ph: (616) 336-3909

Reviews and Comments

Counselor in Grand Rapids, MI

Mrs. Dana Kay Anderson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-254-7741 Fax: 616-254-7750
Marilyn Dale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 Phone: 616-279-3869 Fax: 616-608-4657
Brittani Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-818-4803 Fax: 616-710-5176
Tao Chance Brown-edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000
Lauren Marie Snoeyink, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1295 68th St Se, Grand Rapids, MI 49508 Phone: 616-970-3724
Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284
Mrs. Marian Evelyn Lilly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-356-6247 Fax: 616-732-6392

Tierra Youngblood-field, - Medicare Counselor in Grand Rapids, MI