Tiffany E Sumrall, LMHC - Medicare Counselor in Newton, IA

Tiffany E Sumrall, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Newton, Iowa. Her current practice location is 1123 1st Ave E Ste 200, Newton, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 792-4012.

Tiffany E Sumrall is licensed to practice in Iowa (license number 110038) 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 1730734187.

Contact Information

Tiffany E Sumrall, LMHC
1123 1st Ave E Ste 200,
Newton, IA 50208-3981
(641) 792-4012
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTiffany E Sumrall
GenderFemale
SpecialityCounselor - Mental Health
Location1123 1st Ave E Ste 200, Newton, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730734187
  • Provider Enumeration Date: 08/02/2019
  • Last Update Date: 09/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002251402
  • Enrollment ID: I20240226000639

Medical Identifiers

Medical identifiers for Tiffany E Sumrall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730734187NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 110038 (Iowa)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. Tiffany E Sumrall allows following entities to bill medicare on her behalf.
Entity NameCapstone Behavioral Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174598908
PECOS PAC ID: 0648169573
Enrollment ID: O20040310001459

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. Tiffany E Sumrall 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 AddressPractice Location Address
Tiffany E Sumrall, LMHC
1123 1st Ave E Ste 200,
Newton, IA 50208-3981

Ph: (641) 792-4012
Tiffany E Sumrall, LMHC
1123 1st Ave E Ste 200,
Newton, IA 50208-3981

Ph: (641) 792-4012

Reviews and Comments


Counselor in Newton, IA

Miss Michelle Terry Johnson, LPC, CADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 306 N 3rd Ave E, Newton, IA 50208
Phone: 641-792-4012    Fax: 641-791-0697
Mr. Larry T Rossow,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 306 N 3rd Ave E, Newton, IA 50208
Phone: 641-792-4012    Fax: 641-791-0697
Mrs. Jahkala Wilson-bea, BS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 303 S 2nd Ave W, Newton, IA 50208
Phone: 641-792-0045    Fax: 641-787-0063
Ms. Tammy Marie Foster-harban, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1422 1st Ave E, Newton, IA 50208
Phone: 515-210-6502    
Ryan Joel Emerson, LMHC
Counselor
Medicare: Medicare Enrolled
Practice Location: 1123 1st Ave E Ste 200, Newton, IA 50208
Phone: 641-792-4012    
Ryan Matthew Comer,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 306 N 3rd Ave E, Newton, IA 50208
Phone: 641-792-4012    Fax: 641-791-0697
Rebecca Lynne Van Baale, TLMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1730 1st Ave E, Newton, IA 50208
Phone: 641-275-3520    Fax: 641-275-3522

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.