Quinta T Tambe-ebot, LPCC in Galloway, OH - Medicare Counselor Provider

Quinta T Tambe-ebot, LPCC is a medicare enrolled "Counselor - Professional" provider in Galloway, Ohio. Her current practice location is 5417 Dunsmere Dr, Galloway, Ohio. You can reach out to her office (for appointments etc.) via phone at (480) 772-1675.

Quinta T Tambe-ebot is licensed to practice in Ohio (license number E.2001674) 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 1275079584.

Contact Information

	Quinta T Tambe-ebot, LPCC
	5417 Dunsmere Dr, Galloway, OH 43119-8344
	(480) 772-1675
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Quinta T Tambe-ebot
Gender	Female
Speciality	Counselor - Professional
Location	5417 Dunsmere Dr, Galloway, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275079584
Provider Enumeration Date: 01/10/2017
Last Update Date: 11/05/2021

Medicare PECOS Information:

PECOS PAC ID: 4880047976
Enrollment ID: I20240124004493

Medical Identifiers

Medical identifiers for Quinta T Tambe-ebot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275079584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.2001674 (Ohio)	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. Quinta T Tambe-ebot allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Behavioral Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205888641 PECOS PAC ID: 0244148625 Enrollment ID: O20101007000860

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. Quinta T Tambe-ebot 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
Quinta T Tambe-ebot, LPCC 5417 Dunsmere Dr, Galloway, OH 43119-8344 Ph: () -	Quinta T Tambe-ebot, LPCC 5417 Dunsmere Dr, Galloway, OH 43119-8344 Ph: (480) 772-1675

Reviews and Comments

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Quinta T Tambe-ebot, LPCC - Medicare Counselor in Galloway, OH