Tara Fleis, LLPC is a medicare enrolled "Counselor - Mental Health" provider in Republic, Michigan. Her current practice location is
9885 State Highway M95, Republic, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 282-3130.
Tara Fleis is licensed to practice in Michigan (license number 6401015102) 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 1760933121.
Healthcare Provider's Profile
| Full Name | Tara Fleis |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 9885 State Highway M95, Republic, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760933121
- Provider Enumeration Date: 10/20/2016
- Last Update Date: 10/20/2016
Medicare PECOS Information:
- PECOS PAC ID: 4789963000
- Enrollment ID: I20240213000667
Medical Identifiers
Medical identifiers for Tara Fleis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760933121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 6401015102 (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. Tara Fleis allows following entities to bill medicare on her behalf.
| Entity Name | Resolutions Professional Counseling, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124644133
PECOS PAC ID: 4587007992
Enrollment ID: O20240213000576 |
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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. Tara Fleis 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 |
|---|
Tara Fleis, LLPC
191 Hemlock Street,
Republic, MI 49879
Ph: (906) 376-2643 | Tara Fleis, LLPC
9885 State Highway M95,
Republic, MI 49879-9131
Ph: (906) 282-3130 |
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