Teresa Lynn Mallwitz, MA, LPC, LCPC, CAAD is a medicare enrolled "Counselor - Professional" provider in Phippsburg, Maine. Her current practice location is
622 Parker Head Rd, Phippsburg, Maine. You can reach out to her office (for appointments etc.) via phone at
(231) 534-5505.
Teresa Lynn Mallwitz is licensed to practice in Maine (license number CC4833) 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 1548303456.
Healthcare Provider's Profile
| Full Name | Teresa Lynn Mallwitz |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 622 Parker Head Rd, Phippsburg, Maine |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1548303456
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 04/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 4688183999
- Enrollment ID: I20250529003359
Medical Identifiers
Medical identifiers for Teresa Lynn Mallwitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548303456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401008704 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | CC4833 (Maine) | 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. Teresa Lynn Mallwitz allows following entities to bill medicare on her behalf.
| Entity Name | Mainehealth |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166 |
|---|
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. Teresa Lynn Mallwitz 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 |
|---|
Teresa Lynn Mallwitz, MA, LPC, LCPC, CAAD
622 Parker Head Rd,
Phippsburg, ME 04562-4586
Ph: (231) 534-5505 | Teresa Lynn Mallwitz, MA, LPC, LCPC, CAAD
622 Parker Head Rd,
Phippsburg, ME 04562-4586
Ph: (231) 534-5505 |
Reviews and Comments