Gina Lynn Vivaldi, LMHC in Greenwood, IN - Medicare Counselor Provider

Gina Lynn Vivaldi, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Greenwood, Indiana. Her current practice location is 710 Executive Park Dr Ste 11, Greenwood, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 788-7733.

Gina Lynn Vivaldi is licensed to practice in Indiana (license number 39004691A) 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 1699321679.

Contact Information

	Gina Lynn Vivaldi, LMHC
	710 Executive Park Dr Ste 11, Greenwood, IN 46143-2385
	(317) 788-7733
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gina Lynn Vivaldi
Gender	Female
Speciality	Counselor - Mental Health
Location	710 Executive Park Dr Ste 11, Greenwood, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699321679
Provider Enumeration Date: 08/14/2019
Last Update Date: 02/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8426408030
Enrollment ID: I20231222000829

Medical Identifiers

Medical identifiers for Gina Lynn Vivaldi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699321679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39004691A (Indiana)	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. Gina Lynn Vivaldi allows following entities to bill medicare on her behalf.

Entity Name	Centerstone Of Indiana, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711

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. Gina Lynn Vivaldi 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
Gina Lynn Vivaldi, LMHC 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691	Gina Lynn Vivaldi, LMHC 710 Executive Park Dr Ste 11, Greenwood, IN 46143-2385 Ph: (317) 788-7733

Reviews and Comments

Counselor in Greenwood, IN

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Mrs. Constance J Tooley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 494 S Emerson Ave, Suite B, Greenwood, IN 46143 Phone: 317-888-0581 Fax: 317-888-6221
Diane M. Stone, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 494 S Emerson Ave, Suite B, Greenwood, IN 46143 Phone: 317-884-9397
Mrs. Kyle B Ciresi, MSW, LCSW, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3209 W Smith Valley Rd, Greenwood, IN 46142 Phone: 317-509-0837

Gina Lynn Vivaldi, LMHC - Medicare Counselor in Greenwood, IN