Angi M Disalvo, LCPC in Box Elder, MT - Medicare Counselor Provider

Angi M Disalvo, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Box Elder, Montana. Her current practice location is 6850 Upper Box Elder Rd, Box Elder, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 395-4486.

Angi M Disalvo is licensed to practice in Montana (license number 11059) 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 1194111278.

Contact Information

	Angi M Disalvo, LCPC
	6850 Upper Box Elder Rd, Box Elder, MT 59521
	(406) 395-4486
	(406) 395-4138

Map and Direction

Healthcare Provider's Profile

Full Name	Angi M Disalvo
Gender	Female
Speciality	Counselor - Mental Health
Location	6850 Upper Box Elder Rd, Box Elder, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194111278
Provider Enumeration Date: 04/15/2015
Last Update Date: 03/15/2018

Medicare PECOS Information:

PECOS PAC ID: 0749721165
Enrollment ID: I20240925000781

Medical Identifiers

Medical identifiers for Angi M Disalvo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194111278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	11059 (Montana)	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. Angi M Disalvo allows following entities to bill medicare on her behalf.

Entity Name	Indian Family Health Clinic Of Great Falls Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861616674 PECOS PAC ID: 4082522719 Enrollment ID: O20131031000725

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. Angi M Disalvo 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
Angi M Disalvo, LCPC 6850 Upper Box Elder Rd, Box Elder, MT 59521 Ph: (406) 395-4486	Angi M Disalvo, LCPC 6850 Upper Box Elder Rd, Box Elder, MT 59521 Ph: (406) 395-4486

Reviews and Comments

Counselor in Box Elder, MT

Kendra Dawn Mcmaster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6850 Upper Box Elder Rd, Box Elder, MT 59521 Phone: 406-395-1618
Tina King, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Clinic Rd E, Box Elder, MT 59521 Phone: 406-395-4818 Fax: 406-395-4861
Ms. Carol Jean Ortman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6850 Upper Box Elder Rd, Box Elder, MT 59521 Phone: 406-395-4486 Fax: 406-395-4138
Ms. Gloria Little, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Clinic Rd E, Box Elder, MT 59521 Phone: 406-395-4818 Fax: 406-395-4861
Peter M Sutherland, L.A.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 664, Box Elder, MT 59521 Phone: 406-395-4818 Fax: 406-395-4861
Miss Kathleen Audrey Parsons, LACE Counselor Medicare: Not Enrolled in Medicare Practice Location: 6850 Upper Box Elder Rd, Box Elder, MT 59521 Phone: 406-395-1717 Fax: 406-395-1832

Angi M Disalvo, LCPC - Medicare Counselor in Box Elder, MT