Anthony Enrique Annicchiarico, LPC, LPCC, LADAC in Grants Pass, OR

Anthony Enrique Annicchiarico, LPC, LPCC, LADAC is a medicare enrolled "Counselor - Mental Health" provider in Grants Pass, Oregon. His current practice location is 1644 Carnahan Dr, Grants Pass, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 476-2373.

Anthony Enrique Annicchiarico is licensed to practice in * (Not Available) (license number ) 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 1770990772.

Contact Information

	Anthony Enrique Annicchiarico, LPC, LPCC, LADAC
	1644 Carnahan Dr, Grants Pass, OR 97527-4724
	(541) 476-2373
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Anthony Enrique Annicchiarico
Gender	Male
Speciality	Counselor - Mental Health
Location	1644 Carnahan Dr, Grants Pass, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770990772
Provider Enumeration Date: 07/22/2014
Last Update Date: 05/23/2019

Medicare PECOS Information:

PECOS PAC ID: 5294187100
Enrollment ID: I20240116003957

Medical Identifiers

Medical identifiers for Anthony Enrique Annicchiarico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770990772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Anthony Enrique Annicchiarico allows following entities to bill medicare on his behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20220404000301

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Anthony Enrique Annicchiarico 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
Anthony Enrique Annicchiarico, LPC, LPCC, LADAC 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373	Anthony Enrique Annicchiarico, LPC, LPCC, LADAC 1644 Carnahan Dr, Grants Pass, OR 97527-4724 Ph: (541) 476-2373

Reviews and Comments

Counselor in Grants Pass, OR

Desarae Margaret Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-956-4943
Ms. Lisa Jean Meredith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 Fax: 541-476-1526
Taylor Way, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave, Grants Pass, OR 97527 Phone: 541-476-3302
Mollie Faye Terpening, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1545 Harbeck Rd, Grants Pass, OR 97527 Phone: 541-476-2373
Tamra Blanchard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1349 Golden Park Dr Apt B, Grants Pass, OR 97527 Phone: 541-761-3989 Fax: 541-226-2356
Samantha Tevis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373
Seann Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527 Phone: 541-956-4943

Anthony Enrique Annicchiarico, LPC, LPCC, LADAC - Medicare Counselor in Grants Pass, OR