Mr Tiram Gamliel, LPCC in Grand Forks, ND - Medicare Counselor Provider

Mr Tiram Gamliel, LPCC is a medicare enrolled "Counselor - Professional" provider in Grand Forks, North Dakota. His current practice location is 3535 S 31st St Ste 201, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 780-6821.

Mr Tiram Gamliel is licensed to practice in North Dakota (license number 168-11-15-01-148) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104882935.

Contact Information

	Mr Tiram Gamliel, LPCC
	3535 S 31st St Ste 201, Grand Forks, ND 58201-3593
	(701) 780-6821
	(701) 780-1973

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Tiram Gamliel
Gender	Male
Speciality	Counselor - Professional
Location	3535 S 31st St Ste 201, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104882935
Provider Enumeration Date: 04/21/2006
Last Update Date: 09/06/2018

Medicare PECOS Information:

PECOS PAC ID: 7911340492
Enrollment ID: I20240212003620

Medical Identifiers

Medical identifiers for Mr Tiram Gamliel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104882935	NPI	-	NPPES
897903100	Medicaid	MN
24542	Other	ND	ND BC/BS
319K1GA	Other	MN	MN BC/BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	00053 (Minnesota)	Secondary
101YP2500X	Counselor - Professional	168-11-15-01-148 (North Dakota)	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. Mr Tiram Gamliel allows following entities to bill medicare on his behalf.

Entity Name	Assessment And Therapy Associates Of Grand Forks Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437181591 PECOS PAC ID: 9436152626 Enrollment ID: O20060808000232

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 Tiram Gamliel 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 Tiram Gamliel, LPCC 3535 S 31st St Ste 201, Grand Forks, ND 58201-3593 Ph: (701) 780-6821	Mr Tiram Gamliel, LPCC 3535 S 31st St Ste 201, Grand Forks, ND 58201-3593 Ph: (701) 780-6821

Reviews and Comments

Counselor in Grand Forks, ND

Amanda Weston Caillier, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Division Avenue, Grand Forks, ND 58201 Phone: 218-779-0134
Denae Haagenson, M.ED, LPCC, NCC, LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 Demers Ave, Grand Forks, ND 58201 Phone: 701-271-1632 Fax: 701-235-7359
Ms. Carlyss Ann Kurtti, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 S 4th St, Grand Forks, ND 58201 Phone: 701-235-4457
Shelby Hildenbrand, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1726 S Washington St Ste 33a, Grand Forks, ND 58201 Phone: 701-746-4584 Fax: 651-925-0057
Cheryl Repp-tredway, LPCC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 4700 S Washington St Ste G, Grand Forks, ND 58201 Phone: 701-205-3000
Deborah Lynn Davis, LPCC, LMAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2424 32nd Ave S, Suite 202, Grand Forks, ND 58201 Phone: 701-746-6336 Fax: 701-772-1030
Joan Shulind, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 S 4th St, Suite 401, Grand Forks, ND 58201 Phone: 701-795-3000 Fax: 701-795-3050

Mr Tiram Gamliel, LPCC - Medicare Counselor in Grand Forks, ND