Kim Therese Pauwels, MA, LLP - Medicare Psychologist in Grand Blanc, MI

Kim Therese Pauwels, MA, LLP is a medicare enrolled "Psychologist" provider in Grand Blanc, Michigan. Her current practice location is 8245 Holly Rd Ste 200, Grand Blanc, Michigan. You can reach out to her office (for appointments etc.) via phone at (800) 693-1916.

Kim Therese Pauwels is licensed to practice in Michigan (license number 6361002044) 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 1710214945.

Contact Information

Kim Therese Pauwels, MA, LLP
8245 Holly Rd Ste 200,
Grand Blanc, MI 48439-2483
(800) 693-1916
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKim Therese Pauwels
GenderFemale
SpecialityPsychologist
Location8245 Holly Rd Ste 200, Grand Blanc, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710214945
  • Provider Enumeration Date: 11/09/2009
  • Last Update Date: 08/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274989769
  • Enrollment ID: I20231019000608

Medical Identifiers

Medical identifiers for Kim Therese Pauwels such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710214945NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling (* (Not Available))Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 6301013202 (Michigan)Secondary
103T00000XPsychologist 6361002044 (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. Kim Therese Pauwels allows following entities to bill medicare on her behalf.
Entity NameGreen Pastures Therapy Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205564978
PECOS PAC ID: 4284019241
Enrollment ID: O20220913000415

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. Kim Therese Pauwels 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 AddressPractice Location Address
Kim Therese Pauwels, MA, LLP
1108 Kurtz Rd,
Holly, MI 48442-8314

Ph: (248) 790-7688
Kim Therese Pauwels, MA, LLP
8245 Holly Rd Ste 200,
Grand Blanc, MI 48439-2483

Ph: (800) 693-1916

Reviews and Comments


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Phone: 810-424-2400    Fax: 810-579-7222

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.