Dehvin White-peck, in Crest Hill, IL - Medicare Counselor Provider

Dehvin White-peck, is a medicare enrolled "Counselor - Professional" provider in Crest Hill, Illinois. His current practice location is 1324 Harvest Dr, Crest Hill, Illinois. You can reach out to his office (for appointments etc.) via phone at (770) 510-6469.

Dehvin White-peck is licensed to practice in Illinois (license number 180013334) 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 1164977807.

Contact Information

	Dehvin White-peck,
	1324 Harvest Dr, Crest Hill, IL 60403-0956
	(770) 510-6469
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dehvin White-peck
Gender	Male
Speciality	Counselor - Professional
Location	1324 Harvest Dr, Crest Hill, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164977807
Provider Enumeration Date: 08/23/2016
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2567995095
Enrollment ID: I20241023000554

Medical Identifiers

Medical identifiers for Dehvin White-peck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164977807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180013334 (Illinois)	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. Dehvin White-peck allows following entities to bill medicare on his behalf.

Entity Name	Premise Health Of Illinois Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619

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. Dehvin White-peck 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
Dehvin White-peck, 1324 Harvest Dr, Crest Hill, IL 60403-0956 Ph: (770) 510-6469	Dehvin White-peck, 1324 Harvest Dr, Crest Hill, IL 60403-0956 Ph: (770) 510-6469

Reviews and Comments

Counselor in Crest Hill, IL

Nicole Ramel, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16830 Il-53, Crest Hill, IL 60403 Phone: 815-727-3607
Kelli Majka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16151 Weber Rd # Ll80, Crest Hill, IL 60403 Phone: 708-935-4524
Stacey Anne Matson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 16151 Weber Rd. Ste. Ll10, Crest Hill, IL 60403 Phone: 815-782-8263
Mr. Jose Andres Baltazar, MSW,LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 N Rock Run Dr, Suite 22, Crest Hill, IL 60435 Phone: 815-730-8900 Fax: 815-730-0988
Dr. Danika Alyce Contreras, ED.D., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1860 N Raynor Ave, Crest Hill, IL 60403 Phone: 847-217-5735
Mrs. Jody Beth Mitchell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 N Rock Run Dr, Suite 30a, Crest Hill, IL 60435 Phone: 815-741-3009

Dehvin White-peck, - Medicare Counselor in Crest Hill, IL