Mr Robert Tom Rollis Iii, LPC in Lansing, MI - Medicare Counselor Provider

Mr Robert Tom Rollis Iii, LPC is a medicare enrolled "Counselor - Professional" provider in Lansing, Michigan. His current practice location is 4136 Legacy Pkwy, Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (928) 771-3544.

Mr Robert Tom Rollis Iii is licensed to practice in Michigan (license number 6401018728) 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 1710158308.

Contact Information

	Mr Robert Tom Rollis Iii, LPC
	4136 Legacy Pkwy, Lansing, MI 48911-4265
	(928) 771-3544
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert Tom Rollis Iii
Gender	Male
Speciality	Counselor - Professional
Location	4136 Legacy Pkwy, Lansing, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710158308
Provider Enumeration Date: 03/21/2008
Last Update Date: 02/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9739537044
Enrollment ID: I20231128000648

Medical Identifiers

Medical identifiers for Mr Robert Tom Rollis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710158308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	12618 (Arizona)	Secondary
101YP2500X	Counselor - Professional	6401018728 (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 Robert Tom Rollis Iii allows following entities to bill medicare on his behalf.

Entity Name	Downriver Mental Health Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533

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 Robert Tom Rollis Iii 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 Robert Tom Rollis Iii, LPC 2301 Meadowcroft Dr, Lansing, MI 48912-3517 Ph: (928) 830-2575	Mr Robert Tom Rollis Iii, LPC 4136 Legacy Pkwy, Lansing, MI 48911-4265 Ph: (928) 771-3544

Reviews and Comments

Counselor in Lansing, MI

Rebecca Fitton, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Elmshaven Dr, Lansing, MI 48917 Phone: 802-922-3848
Stephanie Gogarn, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5010 Delbrook Ave, Lansing, MI 48910 Phone: 517-410-0843
Mr. Randall A Hester, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 4305 S Cedar St, Lansing, MI 48910 Phone: 517-258-1272
Tricia Diann Daniels, CLINICAL SPECIALIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 N Mlk Blvd, Lansing, MI 48915 Phone: 517-887-0226 Fax: 517-887-8121
Madison Boyle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 N High St, Lansing, MI 48906 Phone: 517-372-4700
Lauren C Radke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 812 E Jolly Rd, Ste 216, Lansing, MI 48910 Phone: 517-346-9579 Fax: 517-346-8291
Rebecca Lynn Brown, BA, DP-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3410 Old Lansing Rd, Lansing, MI 48917 Phone: 517-657-2980 Fax: 517-993-5982

Mr Robert Tom Rollis Iii, LPC - Medicare Counselor in Lansing, MI