Mary D Kruithoff, LPC is a medicare enrolled "Counselor - Professional" provider in Evart, Michigan. Her current practice location is
10039 10 Mile Rd, Evart, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 629-6393.
Mary D Kruithoff is licensed to practice in Michigan (license number 6401017199) 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 1518277532.
Healthcare Provider's Profile
Full Name | Mary D Kruithoff |
---|
Gender | Female |
---|
Speciality | Counselor - Professional |
---|
Location | 10039 10 Mile Rd, Evart, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518277532
- Provider Enumeration Date: 10/08/2010
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062765605
- Enrollment ID: I20250204000407
Medical Identifiers
Medical identifiers for Mary D Kruithoff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518277532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 6401011846 (Michigan) | Secondary |
103TC1900X | Psychologist - Counseling | 6301014054 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401017199 (Michigan) | 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. Mary D Kruithoff allows following entities to bill medicare on her behalf.
Entity Name | Community Mental Health For Central Michigan |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1881622892 PECOS PAC ID: 4688660533 Enrollment ID: O20040424000125 |
---|
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. Mary D Kruithoff 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 |
Mary D Kruithoff, LPC Po Box 84, Evart, MI 49631-0084 Ph: (231) 629-6393 | Mary D Kruithoff, LPC 10039 10 Mile Rd, Evart, MI 49631-7313 Ph: (231) 629-6393 |
Reviews and Comments