Theresa Fry, LPC in Ypsilanti, MI - Medicare Counselor Provider

Theresa Fry, LPC is a medicare enrolled "Counselor - Professional" provider in Ypsilanti, Michigan. Her current practice location is 4870 W Clark Rd Ste 100, Ypsilanti, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 219-5739.

Theresa Fry is licensed to practice in Michigan (license number 6401009029) 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 1396434643.

Contact Information

	Theresa Fry, LPC
	4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104
	(734) 219-5739
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Fry
Gender	Female
Speciality	Counselor - Professional
Location	4870 W Clark Rd Ste 100, Ypsilanti, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396434643
Provider Enumeration Date: 05/03/2023
Last Update Date: 05/03/2023

Medicare PECOS Information:

PECOS PAC ID: 1254841869
Enrollment ID: I20250611002704

Medical Identifiers

Medical identifiers for Theresa Fry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396434643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401009029 (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. Theresa Fry allows following entities to bill medicare on her behalf.

Entity Name	Midwest Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134625007 PECOS PAC ID: 9133567829 Enrollment ID: O20240401000648

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. Theresa Fry 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
Theresa Fry, LPC 6806 Poplar Dr, Ypsilanti, MI 48197-1766 Ph: (734) 502-2186	Theresa Fry, LPC 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 Ph: (734) 219-5739

Reviews and Comments

Counselor in Ypsilanti, MI

Ms. Dawn Elaine Chalker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2050 Washtenaw Rd, Ypsilanti, MI 48197 Phone: 734-417-2664
Edward Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2891 International Dr Apt 1944c, Ypsilanti, MI 48197 Phone: 313-820-7444
Samantha Maria Bastianelli, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2520 Packard Rd Ste 4, Ypsilanti, MI 48197 Phone: 734-480-8099 Fax: 734-999-3779
Bradley Moss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1127 Levona St, Ypsilanti, MI 48198 Phone: 734-674-0033
Sima Haghpassand Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7716 Pioneer Dr, Ypsilanti, MI 48197 Phone: 734-915-8510
Alex Laursen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Evelyn Ave, Ypsilanti, MI 48198 Phone: 863-899-3214
Mr. Isaac Williamson, LMSW Counselor Medicare: Medicare Enrolled Practice Location: 1205 Collegewood St, Ypsilanti, MI 48197 Phone: 734-216-0688

Theresa Fry, LPC - Medicare Counselor in Ypsilanti, MI