Michele R Basiletti, LPCC-LICDC is a medicare enrolled "Counselor - Professional" provider in Tippecanoe, Ohio. She graduated from healthcare school in 2014 and has 11 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Ryan L Dunn Phd Inc and her current practice location is
79030 Freeport Tippecanoe Rd, Tippecanoe, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 440-8882.
Michele R Basiletti is licensed to practice in Ohio (license number LICDC.161823) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770071623.
Healthcare Provider's Profile
| Full Name | Michele R Basiletti |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 11 Years |
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| Location | 79030 Freeport Tippecanoe Rd, Tippecanoe, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michele R Basiletti graduated from medical school in 2014
NPI Data:
- NPI Number: 1770071623
- Provider Enumeration Date: 04/26/2018
- Last Update Date: 07/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 9133667488
- Enrollment ID: I20240816003607
Medical Identifiers
Medical identifiers for Michele R Basiletti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770071623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | LICDC.161823 (Ohio) | Primary |
| 101YP2500X | Counselor - Professional | E.2001821 (Ohio) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ryan L Dunn Phd Inc | 3577465244 | 6 |
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. Michele R Basiletti allows following entities to bill medicare on her behalf.
| Entity Name | Ryan L Dunn Phd Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033224761
PECOS PAC ID: 3577465244
Enrollment ID: O20040122001185 |
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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. Michele R Basiletti 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 |
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Michele R Basiletti, LPCC-LICDC
28000 Mays School Rd,
Tippecanoe, OH 44699-9449
Ph: (330) 440-8882 | Michele R Basiletti, LPCC-LICDC
79030 Freeport Tippecanoe Rd,
Tippecanoe, OH 44699-9759
Ph: (330) 440-8882 |
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