Terri Larae Griswold-dodgson, in Joliet, IL - Medicare Counselor Provider

Terri Larae Griswold-dodgson, is a medicare enrolled "Counselor - Professional" provider in Joliet, Illinois. Her current practice location is 601 Mack St, Joliet, Illinois. You can reach out to her office (for appointments etc.) via phone at (417) 343-0373.

Terri Larae Griswold-dodgson is licensed to practice in Illinois (license number 180.010917) 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 1740667104.

Contact Information

	Terri Larae Griswold-dodgson,
	601 Mack St, Joliet, IL 60435-5923
	(417) 343-0373
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Terri Larae Griswold-dodgson
Gender	Female
Speciality	Counselor - Professional
Location	601 Mack St, Joliet, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740667104
Provider Enumeration Date: 05/05/2015
Last Update Date: 03/03/2025

Medicare PECOS Information:

PECOS PAC ID: 8820532633
Enrollment ID: I20240703003910

Medical Identifiers

Medical identifiers for Terri Larae Griswold-dodgson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740667104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	12903813-6004 (Utah)	Secondary
101YP2500X	Counselor - Professional	LH61409067 (Washington)	Secondary
101YP2500X	Counselor - Professional	180.010917 (Illinois)	Primary
101YP2500X	Counselor - Professional	49347. (Montana)	Secondary

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. Terri Larae Griswold-dodgson allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221129001217

Entity Name	Sondermind Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710647581 PECOS PAC ID: 3577099621 Enrollment ID: O20241230001256

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. Terri Larae Griswold-dodgson 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
Terri Larae Griswold-dodgson, 601 Mack St, Joliet, IL 60435-5923 Ph: (417) 343-0373	Terri Larae Griswold-dodgson, 601 Mack St, Joliet, IL 60435-5923 Ph: (417) 343-0373

Reviews and Comments

Counselor in Joliet, IL

Ms. Meghan Marie Garland, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1002 N 129th Infantry Dr Ste F, Joliet, IL 60435 Phone: 815-823-2876
Lindsay Chrzanowski, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2025 S Chicago St Ste B, Joliet, IL 60436 Phone: 815-957-4174 Fax: 815-714-6206
Matt Gozner, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 Houbolt Rd, Joliet, IL 60431 Phone: 815-263-8209
Kaitlin Jane Ballard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2319 Manhattan Rd, Joliet, IL 60433 Phone: 815-714-8126
Pia Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 742 Essington Rd, Joliet, IL 60435 Phone: 815-220-5632 Fax: 815-373-0099
Juli Dragisic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Essington Rd, Joliet, IL 60435 Phone: 815-729-2160 Fax: 815-373-0099
Rochelle Walwer, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Water Stone Cir, Joliet, IL 60431 Phone: 815-740-4104

Terri Larae Griswold-dodgson, - Medicare Counselor in Joliet, IL