Trudy Willadson, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Greenville, Michigan. Her current practice location is
309 1/2 S Lafayette St Ste 202, Greenville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(408) 656-8138.
Trudy Willadson is licensed to practice in Michigan (license number 4101007112) 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 1942417191.
Healthcare Provider's Profile
Full Name | Trudy Willadson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 309 1/2 S Lafayette St Ste 202, Greenville, 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: 1942417191
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 07/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638529142
- Enrollment ID: I20231226001162
Medical Identifiers
Medical identifiers for Trudy Willadson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942417191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFC 43034 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 4101007112 (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. Trudy Willadson allows following entities to bill medicare on her behalf.
Entity Name | Kimberly B Lavender, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548667397 PECOS PAC ID: 5193048833 Enrollment ID: O20150102001378 |
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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. Trudy Willadson 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 |
Trudy Willadson, LMFT Po Box 348, Sheridan, MI 48884-0348 Ph: (408) 656-8138 | Trudy Willadson, LMFT 309 1/2 S Lafayette St Ste 202, Greenville, MI 48838-1967 Ph: (408) 656-8138 |
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