Michaela J Detrick, LPC, CAADC in Williamsport, PA

Michaela J Detrick, LPC, CAADC is a medicare enrolled "Counselor - Professional" provider in Williamsport, Pennsylvania. Her current practice location is 1521 Washington Blvd, Williamsport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 322-5051.

Michaela J Detrick is licensed to practice in Pennsylvania (license number PC013722) 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 1144990961.

Contact Information

	Michaela J Detrick, LPC, CAADC
	1521 Washington Blvd, Williamsport, PA 17701-5426
	(570) 322-5051
	(570) 322-6788

Map and Direction

Healthcare Provider's Profile

Full Name	Michaela J Detrick
Gender	Female
Speciality	Counselor - Professional
Location	1521 Washington Blvd, Williamsport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144990961
Provider Enumeration Date: 09/14/2021
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 7012438278
Enrollment ID: I20250305000943

Medical Identifiers

Medical identifiers for Michaela J Detrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144990961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PC013722 (Pennsylvania)	Secondary
101YP2500X	Counselor - Professional	PC013722 (Pennsylvania)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	10091 (Pennsylvania)	Secondary

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. Michaela J Detrick allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242

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. Michaela J Detrick 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
Michaela J Detrick, LPC, CAADC 716 N Loyalsock Ave, Montoursville, PA 17754-1022 Ph: (570) 220-5460	Michaela J Detrick, LPC, CAADC 1521 Washington Blvd, Williamsport, PA 17701-5426 Ph: (570) 322-5051

Reviews and Comments

Counselor in Williamsport, PA

Tanya Leigh Starr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026
Alyssa Lea Knauber, Counselor Medicare: Medicare Enrolled Practice Location: 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701 Phone: 570-323-6944
Lori Kahler Brown, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701 Phone: 570-323-6944
Mrs. Channon M Cunningham, MSW, LCSW, CAC/CCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Market St, Ste 114, Williamsport, PA 17701 Phone: 570-212-9481
Ms. Tonya Rene Anderson, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026
Kathleen E Soccio, BSL, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1521 Washington Blvd, Williamsport, PA 17701 Phone: 570-322-5051 Fax: 570-322-6788
Makayla Sementelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701 Phone: 877-907-7970

Michaela J Detrick, LPC, CAADC - Medicare Counselor in Williamsport, PA