Ms Pamela Jo Tippey-herrick, LCPC is a
Counselor - Mental Health based in Lewistown, Illinois. Ms Pamela Jo Tippey-herrick is licensed to practice in Illinois (license number 180006970) and her current practice location is
16249 E Red Maple Ln, Lewistown, Illinois. She can be reached at her office (for appointments etc.) via phone at
(209) 547-2117.
NPI number for Ms Pamela Jo Tippey-herrick is 1376788067 and her current mailing address is 16249 E Red Maple Ln, Lewistown, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376788067.
Healthcare Provider's Profile
| Full Name | Ms Pamela Jo Tippey-herrick |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 16249 E Red Maple Ln, Lewistown, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376788067
- Provider Enumeration Date: 12/09/2008
- Last Update Date: 12/09/2008
Medical Identifiers
Medical identifiers for Ms Pamela Jo Tippey-herrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376788067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 180006970 (Illinois) | Primary |
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. Ms Pamela Jo Tippey-herrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Pamela Jo Tippey-herrick, LCPC 16249 E Red Maple Ln, Lewistown, IL 61542-9273 Ph: (209) 547-2117 | Ms Pamela Jo Tippey-herrick, LCPC 16249 E Red Maple Ln, Lewistown, IL 61542-9273 Ph: (209) 547-2117 |
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