Ms Theresa Dawn Stack, LMSW in Traverse City, MI - Medicare Clinical Social Worker Provider

Ms Theresa Dawn Stack, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Traverse City, Michigan. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Old Town Psychological Services and her current practice location is 512 S Union St, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 941-6550.

Ms Theresa Dawn Stack is licensed to practice in Michigan (license number 6801019505) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427251909.

Contact Information

	Ms Theresa Dawn Stack, LMSW
	512 S Union St, Traverse City, MI 49684-3247
	(231) 941-6550
	(231) 941-8981

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Theresa Dawn Stack
Gender	Female
Speciality	Clinical Social Worker
Experience	27 Years
Location	512 S Union St, Traverse City, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Theresa Dawn Stack graduated from medical school in 1997

NPI Data:

NPI Number: 1427251909
Provider Enumeration Date: 06/11/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9638314743
Enrollment ID: I20130320000443

Medical Identifiers

Medical identifiers for Ms Theresa Dawn Stack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427251909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801019505 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Old Town Psychological Services	2466600101	4

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. Ms Theresa Dawn Stack allows following entities to bill medicare on her behalf.

Entity Name	Old Town Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093989162 PECOS PAC ID: 2466600101 Enrollment ID: O20120921000057

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. Ms Theresa Dawn Stack 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
Ms Theresa Dawn Stack, LMSW 512 S Union St, Traverse City, MI 49684-3247 Ph: (231) 941-6550	Ms Theresa Dawn Stack, LMSW 512 S Union St, Traverse City, MI 49684-3247 Ph: (231) 941-6550

Reviews and Comments

Social Worker in Traverse City, MI

Mr. Peter Joseph Zoutendyk Jr., MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 S Garfield Ave Ste B, Traverse City, MI 49686 Phone: 231-947-0511
Mrs. Janet Lynn Hughes, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1844 Oak Hollow Dr, Suite B, Traverse City, MI 49686 Phone: 231-929-0300 Fax: 231-933-6378
Mr. Calvin George Sikarskie, MS, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3785 Veterans Dr, Traverse City, MI 49684 Phone: 231-929-0520
Mr. Michael Franklin Coonan, LMSW ACSW BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1889 E River Rd, Traverse City, MI 49696 Phone: 850-377-1960
Mr. Robert Anthony Fernandez, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 954 Business Park Dr, Traverse City, MI 49686 Phone: 231-590-3411
Ms. Melanie Sue Lutz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4020 Copper Vw Ste 104, Traverse City, MI 49684 Phone: 231-421-6921 Fax: 234-421-7852
Kirt Baab, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2870 Cluster Dr, Apt 3, Traverse City, MI 49685 Phone: 231-944-0407

Ms Theresa Dawn Stack, LMSW - Medicare Clinical Social Worker in Traverse City, MI