Teresa W Syversen, CADC I in Tillamook, OR - Medicare Counselor Provider

Teresa W Syversen, CADC I is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Tillamook, Oregon. Her current practice location is 906 Main Ave, Tillamook, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 842-8201.

Teresa W Syversen is licensed to practice in * (Not Available) (license number ) 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 1871622332.

Contact Information

	Teresa W Syversen, CADC I
	906 Main Ave, Tillamook, OR 97141-3816
	(503) 842-8201
	(503) 815-1870

Map and Direction

Healthcare Provider's Profile

Full Name	Teresa W Syversen
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	906 Main Ave, Tillamook, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871622332
Provider Enumeration Date: 03/02/2007
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 8527504083
Enrollment ID: I20240722000996

Medical Identifiers

Medical identifiers for Teresa W Syversen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871622332	NPI	-	NPPES
197749	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	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 W Syversen allows following entities to bill medicare on her behalf.

Entity Name	Tillamook Family Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659380145 PECOS PAC ID: 3375443864 Enrollment ID: O20040112000065

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 W Syversen 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 W Syversen, CADC I 9875 Chance Rd, Tillamook, OR 97141 Ph: (503) 842-8201	Teresa W Syversen, CADC I 906 Main Ave, Tillamook, OR 97141-3816 Ph: (503) 842-8201

Reviews and Comments

Counselor in Tillamook, OR

Kathy J Sias, Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870
Dustin Renee Young, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870
Jodee Ridderbusch, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870
Gary D Frunz, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870
Sandra Lee Hurliman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870
Janette L Boal, RN QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870
Ms. Kimberlee Anne Garner, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870

Teresa W Syversen, CADC I - Medicare Counselor in Tillamook, OR