Mrs Raeleen Nicole Davis, MA, LPC in West Bloomfield, MI

Mrs Raeleen Nicole Davis, MA, LPC is a medicare enrolled "Counselor - Professional" provider in West Bloomfield, Michigan. Her current practice location is 6667 Orchard Lake Rd, West Bloomfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 206-8950.

Mrs Raeleen Nicole Davis is licensed to practice in Michigan (license number 6401014995) 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 1730555459.

Contact Information

	Mrs Raeleen Nicole Davis, MA, LPC
	6667 Orchard Lake Rd, West Bloomfield, MI 48322-3404
	(248) 206-8950
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Raeleen Nicole Davis
Gender	Female
Speciality	Counselor - Professional
Location	6667 Orchard Lake Rd, West Bloomfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730555459
Provider Enumeration Date: 08/17/2015
Last Update Date: 04/24/2026

Medicare PECOS Information:

PECOS PAC ID: 7113377284
Enrollment ID: I20240102002436

Medical Identifiers

Medical identifiers for Mrs Raeleen Nicole Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730555459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401014995 (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 Raeleen Nicole Davis allows following entities to bill medicare on her behalf.

Entity Name	Innovations By Gomes Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881389906 PECOS PAC ID: 0446613665 Enrollment ID: O20230905003299

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 Raeleen Nicole Davis 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 Raeleen Nicole Davis, MA, LPC 6667 Orchard Lake Rd, West Bloomfield, MI 48322-3404 Ph: (248) 206-8950	Mrs Raeleen Nicole Davis, MA, LPC 6667 Orchard Lake Rd, West Bloomfield, MI 48322-3404 Ph: (248) 206-8950

Reviews and Comments

Counselor in West Bloomfield, MI

Dylan Jay Foster, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7142 Chimney Hill Dr, Apt 3205, West Bloomfield, MI 48322 Phone: 231-920-8749
Mrs. Victoria Marie Schreiber, M.A., L.M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7383 Radcliff Dr, West Bloomfield, MI 48322 Phone: 248-476-4515 Fax: 248-661-8810
Joseph Edwards, MA, LBSW, CAAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 Fax: 248-592-2340
Ms. Francine Lynn Sexton, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6130 Cochise Dr, West Bloomfield, MI 48322 Phone: 248-752-5080
Staci Zonca, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2716 Warner Dr, West Bloomfield, MI 48324 Phone: 248-464-3859
Mrs. Valerie Anne Brenneman, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 5745 W. Maple Rd., Suite 202, West Bloomfield, MI 48322 Phone: 248-862-5110 Fax: 844-893-1355
Amanda Goodman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7459 Middlebelt Rd, West Bloomfield, MI 48322 Phone: 248-410-3246

Mrs Raeleen Nicole Davis, MA, LPC - Medicare Counselor in West Bloomfield, MI