Beverly Jackson Frazier, in Southgate, MI - Medicare Counselor Provider

Beverly Jackson Frazier, is a medicare enrolled "Counselor - Mental Health" provider in Southgate, Michigan. Her current practice location is 14799 Dix Toledo Rd, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 686-9634.

Beverly Jackson Frazier is licensed to practice in Michigan (license number 6401004160) 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 1083491823.

Contact Information

	Beverly Jackson Frazier,
	14799 Dix Toledo Rd, Southgate, MI 48195-2507
	(248) 686-9634
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Beverly Jackson Frazier
Gender	Female
Speciality	Counselor - Mental Health
Location	14799 Dix Toledo Rd, Southgate, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083491823
Provider Enumeration Date: 09/14/2023
Last Update Date: 01/12/2024

Medicare PECOS Information:

PECOS PAC ID: 7416391669
Enrollment ID: I20240215003835

Medical Identifiers

Medical identifiers for Beverly Jackson Frazier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083491823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401004160 (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. Beverly Jackson Frazier allows following entities to bill medicare on her behalf.

Entity Name	Team Mental Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588855100 PECOS PAC ID: 2264451830 Enrollment ID: O20081030000384

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. Beverly Jackson Frazier 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
Beverly Jackson Frazier, 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (248) 686-9634	Beverly Jackson Frazier, 14799 Dix Toledo Rd, Southgate, MI 48195-2507 Ph: (248) 686-9634

Reviews and Comments

Counselor in Southgate, MI

Elizabeth Magana Shaw, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd Ste 500, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953
Caitlin Witt, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13305 Reeck Ct, Southgate, MI 48195 Phone: 734-225-2090
Nichole Marbury, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953
Amber Elizabeth Keyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 989-598-0026
Lisa Goss, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700
Ashley Marie Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd Bldg 4, Southgate, MI 48195 Phone: 734-787-4053
Wanda Denise Phelps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7714

Beverly Jackson Frazier, - Medicare Counselor in Southgate, MI