Mr Gerry Threatt, LMHC LH 61288295 in Penrose, CO

Mr Gerry Threatt, LMHC LH 61288295 is a medicare enrolled "Counselor - Mental Health" provider in Penrose, Colorado. His current practice location is 15 Grant St, Penrose, Colorado. You can reach out to his office (for appointments etc.) via phone at (785) 375-2608.

Mr Gerry Threatt is licensed to practice in Washington (license number LH61288295) 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 1285259002.

Contact Information

	Mr Gerry Threatt, LMHC LH 61288295
	15 Grant St, Penrose, CO 81240-9643
	(785) 375-2608
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gerry Threatt
Gender	Male
Speciality	Counselor - Mental Health
Location	15 Grant St, Penrose, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285259002
Provider Enumeration Date: 06/09/2020
Last Update Date: 06/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8224488267
Enrollment ID: I20240103001320

Medical Identifiers

Medical identifiers for Mr Gerry Threatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285259002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH61288295 (Washington)	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. Mr Gerry Threatt allows following entities to bill medicare on his behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Mr Gerry Threatt 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
Mr Gerry Threatt, LMHC LH 61288295 15 Grant St, Penrose, CO 81240-9643 Ph: (785) 375-2608	Mr Gerry Threatt, LMHC LH 61288295 15 Grant St, Penrose, CO 81240-9643 Ph: (785) 375-2608

Reviews and Comments

Counselor in Penrose, CO

Marissa Pope, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1863 15th St, Penrose, CO 81240 Phone: 830-688-1662
Megan J Hightower, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Cedar Hills Rd, Penrose, CO 81240 Phone: 719-339-0659
Dawn Rien, Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 11th St, Penrose, CO 81240 Phone: 207-841-2889

Mr Gerry Threatt, LMHC LH 61288295 - Medicare Counselor in Penrose, CO