Berta Rodriguez-diaz, in Tooele, UT - Medicare Counselor Provider

Berta Rodriguez-diaz, is a medicare enrolled "Counselor - Mental Health" provider in Tooele, Utah. Her current practice location is 100 S 1000 W, Tooele, Utah. You can reach out to her office (for appointments etc.) via phone at (888) 949-4864.

Berta Rodriguez-diaz is licensed to practice in Utah (license number 9550251-6004) 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 1336507433.

Contact Information

	Berta Rodriguez-diaz,
	100 S 1000 W, Tooele, UT 84074-4010
	(888) 949-4864
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Berta Rodriguez-diaz
Gender	Female
Speciality	Counselor - Mental Health
Location	100 S 1000 W, Tooele, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336507433
Provider Enumeration Date: 02/03/2016
Last Update Date: 08/18/2025

Medicare PECOS Information:

PECOS PAC ID: 0547799561
Enrollment ID: I20250121001670

Medical Identifiers

Medical identifiers for Berta Rodriguez-diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336507433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	9550251-6004 (Utah)	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. Berta Rodriguez-diaz allows following entities to bill medicare on her behalf.

Entity Name	Horizons Counseling & Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306556501 PECOS PAC ID: 4789055138 Enrollment ID: O20230120002505

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. Berta Rodriguez-diaz 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
Berta Rodriguez-diaz, 3725 W 4100 S Ste 201, West Valley City, UT 84120-6490 Ph: (888) 949-4864	Berta Rodriguez-diaz, 100 S 1000 W, Tooele, UT 84074-4010 Ph: (888) 949-4864

Reviews and Comments

Counselor in Tooele, UT

Ms. Michelle Elizabeth Kinder, SSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 435-843-3520
Madeleine Sparhawk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 352 N Main St, Tooele, UT 84074 Phone: 385-200-3107
Ashley Carrubba, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Alfred Dr, Tooele, UT 84074 Phone: 435-277-0842
Miriam Eileen Buell, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 N 50 W, Tooele, UT 84074 Phone: 801-990-4300 Fax: 801-967-2127
Drew Hanson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 754 N Main St, Tooele, UT 84074 Phone: 435-228-6523
Mrs. Rita Josephine Butler, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 N Main St, Tooele, UT 84074 Phone: 801-990-4300 Fax: 801-967-2127
Karen Freiley Atkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 W Vine St, Tooele, UT 84074 Phone: 435-882-4354

Berta Rodriguez-diaz, - Medicare Counselor in Tooele, UT