Mr Reginald Charles Terry, MA, LLPC, CAADC is a medicare enrolled "Counselor - Professional" provider in New Baltimore, Michigan. He graduated from healthcare school in 2008 and has 18 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Diversus Health Inc and his current practice location is
35031 23 Mile Rd, New Baltimore, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 725-5777.
Mr Reginald Charles Terry is licensed to practice in Michigan (license number 6401011111) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023279841.
Healthcare Provider's Profile
| Full Name | Mr Reginald Charles Terry |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 18 Years |
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| Location | 35031 23 Mile Rd, New Baltimore, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Reginald Charles Terry graduated from medical school in 2008
NPI Data:
- NPI Number: 1023279841
- Provider Enumeration Date: 06/24/2008
- Last Update Date: 11/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082055165
- Enrollment ID: I20240508000612
Medical Identifiers
Medical identifiers for Mr Reginald Charles Terry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023279841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | LPC.0018882 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | 6401011111 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Diversus Health Inc | 7719879204 | 49 |
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. Mr Reginald Charles Terry allows following entities to bill medicare on his behalf.
| Entity Name | Diversus Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043260243 PECOS PAC ID: 7719879204 Enrollment ID: O20040329000837 |
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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. Mr Reginald Charles Terry 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 |
Mr Reginald Charles Terry, MA, LLPC, CAADC 35031 23 Mile Rd, New Baltimore, MI 48047-3649 Ph: (586) 725-5777 | Mr Reginald Charles Terry, MA, LLPC, CAADC 35031 23 Mile Rd, New Baltimore, MI 48047-3649 Ph: (586) 725-5777 |
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