Dr Lawrence Elden Dettweiler, PHD in Santa Fe, NM

Dr Lawrence Elden Dettweiler, PHD is a medicare enrolled "Counselor - Mental Health" provider in Santa Fe, New Mexico. His current practice location is 453 Cerrillos Rd, Santa Fe, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 603-0641.

Dr Lawrence Elden Dettweiler is licensed to practice in New Mexico (license number 4706) 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 1407979990.

Contact Information

	Dr Lawrence Elden Dettweiler, PHD
	453 Cerrillos Rd, Santa Fe, NM 87501-3784
	(505) 603-0641
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lawrence Elden Dettweiler
Gender	Male
Speciality	Counselor - Mental Health
Location	453 Cerrillos Rd, Santa Fe, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407979990
Provider Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8224567524
Enrollment ID: I20250131001622

Medical Identifiers

Medical identifiers for Dr Lawrence Elden Dettweiler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407979990	NPI	-	NPPES
12452777	Medicaid	NM
VNM01398	Other	NM	VALUE OPTIONS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4706 (New Mexico)	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. Dr Lawrence Elden Dettweiler allows following entities to bill medicare on his behalf.

Entity Name	Labyrinth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972626463 PECOS PAC ID: 9830628056 Enrollment ID: O20250131003013

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. Dr Lawrence Elden Dettweiler 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
Dr Lawrence Elden Dettweiler, PHD 14 Melado Dr, Santa Fe, NM 87508-2254 Ph: (505) 603-0641	Dr Lawrence Elden Dettweiler, PHD 453 Cerrillos Rd, Santa Fe, NM 87501-3784 Ph: (505) 603-0641

Reviews and Comments

Counselor in Santa Fe, NM

Kim M Servent, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601a Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-954-8786 Fax: 505-954-8794
Leonard Tischler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1904 San Ildefonso Rd, Santa Fe, NM 87505 Phone: 505-471-4985
Ralph E Flores, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006
Susan C Rivera, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006
Paula Strongheart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2960 Rodeo Park Dr W, Santa Fe, NM 87505 Phone: 505-986-9633
Suzanne Salladin, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2504 Camino Entrada, Santa Fe, NM 87507 Phone: 505-471-5006
Lisa Barnes, MA PSY, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 Old Agua Fria Rd E, Santa Fe, NM 87508 Phone: 505-988-1169

Dr Lawrence Elden Dettweiler, PHD - Medicare Counselor in Santa Fe, NM