Mrs Phyllis Caroline Walter, MA, LPC in Center Line, MI

Mrs Phyllis Caroline Walter, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Center Line, Michigan. Her current practice location is 26522 Van Dyke Ave, Center Line, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 759-4400.

Mrs Phyllis Caroline Walter is licensed to practice in Michigan (license number 6401006902) 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 1538262480.

Contact Information

	Mrs Phyllis Caroline Walter, MA, LPC
	26522 Van Dyke Ave, Center Line, MI 48015-1221
	(586) 759-4400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Phyllis Caroline Walter
Gender	Female
Speciality	Counselor - Professional
Location	26522 Van Dyke Ave, Center Line, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538262480
Provider Enumeration Date: 09/06/2006
Last Update Date: 08/24/2020

Medicare PECOS Information:

PECOS PAC ID: 9032560172
Enrollment ID: I20240318000611

Medical Identifiers

Medical identifiers for Mrs Phyllis Caroline Walter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538262480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	401006902 (Michigan)	Secondary
101YP2500X	Counselor - Professional	6401006902 (Michigan)	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. Mrs Phyllis Caroline Walter allows following entities to bill medicare on her behalf.

Entity Name	County Of Macomb
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040301000018

Entity Name	Ismail B Sendi Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609882067 PECOS PAC ID: 4688674534 Enrollment ID: O20061228000140

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. Mrs Phyllis Caroline Walter 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
Mrs Phyllis Caroline Walter, MA, LPC 6549 Town Center Dr Ste A, Clarkston, MI 48346-4824 Ph: (248) 620-6400	Mrs Phyllis Caroline Walter, MA, LPC 26522 Van Dyke Ave, Center Line, MI 48015-1221 Ph: (586) 759-4400

Reviews and Comments

Counselor in Center Line, MI

Ashley L Maurer, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26522 Van Dyke Ave, Center Line, MI 48015 Phone: 586-759-4400 Fax: 586-759-4401
Sherri Medvedik, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6900 E 10 Mile Rd, Center Line, MI 48015 Phone: 586-855-0743
Katherine Fox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26522 Van Dyke Ave, Center Line, MI 48015 Phone: 586-759-4400 Fax: 586-759-4401
Carrie Harvey-grossberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26522 Van Dyke Ave, Center Line, MI 48015 Phone: 586-759-4400 Fax: 586-759-4401
Natalie Lafehr, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26522 Van Dyke Ave, Center Line, MI 48015 Phone: 800-395-3223
Mrs. Kelly Brooke Brinkmann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26522 Van Dyke Ave., Center Line, MI 48015 Phone: 586-759-4400 Fax: 586-759-4401
Cynthia Norrow, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26522 Van Dyke Ave, Center Line, MI 48015 Phone: 586-759-4400

Mrs Phyllis Caroline Walter, MA, LPC - Medicare Counselor in Center Line, MI