Michele R Basiletti, LPCC-LICDC is a medicare enrolled "Counselor - Professional" provider in Tippecanoe, Ohio. 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 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 1770071623.
Healthcare Provider's Profile
Full Name | Michele R Basiletti |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 79030 Freeport Tippecanoe Rd, Tippecanoe, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
1770071623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LICDC.161823 (Ohio) | Primary |
101YP2500X | Counselor - Professional | E.2001821 (Ohio) | 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. 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 |
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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