Dawn Renee Terez Hillstrom, in Shelby Township, MI

Dawn Renee Terez Hillstrom, is a medicare enrolled "Counselor - Mental Health" provider in Shelby Township, Michigan. Her current practice location is 50258 Van Dyke Ave Ste A, Shelby Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 884-4714.

Dawn Renee Terez Hillstrom is licensed to practice in Michigan (license number 640101875) 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 1407456262.

Contact Information

	Dawn Renee Terez Hillstrom,
	50258 Van Dyke Ave Ste A, Shelby Township, MI 48317-1374
	(586) 884-4714
	(586) 884-4693

Map and Direction

Healthcare Provider's Profile

Full Name	Dawn Renee Terez Hillstrom
Gender	Female
Speciality	Counselor - Mental Health
Location	50258 Van Dyke Ave Ste A, Shelby Township, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407456262
Provider Enumeration Date: 10/29/2020
Last Update Date: 10/29/2020

Medicare PECOS Information:

PECOS PAC ID: 9335585793
Enrollment ID: I20240308000319

Medical Identifiers

Medical identifiers for Dawn Renee Terez Hillstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407456262	NPI	-	NPPES
6401018750	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	640101875 (Michigan)	Primary
101YM0800X	Counselor - Mental Health	6401018750 (Michigan)	Secondary

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. Dawn Renee Terez Hillstrom allows following entities to bill medicare on her behalf.

Entity Name	Kindmind Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730897711 PECOS PAC ID: 3476922006 Enrollment ID: O20221202002772

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. Dawn Renee Terez Hillstrom 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
Dawn Renee Terez Hillstrom, 50258 Van Dyke Ave Ste A, Shelby Township, MI 48317-1374 Ph: (586) 884-4714	Dawn Renee Terez Hillstrom, 50258 Van Dyke Ave Ste A, Shelby Township, MI 48317-1374 Ph: (586) 884-4714

Reviews and Comments

Counselor in Shelby Township, MI

Ms. Ciara Braun, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50505 Schoenherr Rd, Suite 270, Shelby Township, MI 48315 Phone: 586-263-1234
Martina Turcinovic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 46241 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-350-7807
Allison Shaune, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13001 23 Mile Rd Ste 103, Shelby Township, MI 48315 Phone: 124-848-3050
Mr. Matthew Christopher Orlando, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 52188 Van Dyke Ave Ste 300, Shelby Township, MI 48316 Phone: 734-726-9434 Fax: 586-254-3312
Cyd Charisse Grace, MA,LLPC,LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 45660 Schoenherr Rd Ste A, Shelby Township, MI 48315 Phone: 586-566-3020 Fax: 586-566-3055
Jennifer M. Schultz-price, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7031 Yorktown Ln, Shelby Township, MI 48317 Phone: 586-255-7855
Erica Chavez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 48465 Van Dyke Ave Ste A, Shelby Township, MI 48317 Phone: 586-243-7175

Dawn Renee Terez Hillstrom, - Medicare Counselor in Shelby Township, MI