Tina Dall States, LPC in Powell, WY - Medicare Counselor Provider

Tina Dall States, LPC is a medicare enrolled "Counselor - Mental Health" provider in Powell, Wyoming. Her current practice location is 450 Mountain View, Building C, Powell, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 254-0661.

Tina Dall States is licensed to practice in Wyoming (license number LPC 926) 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 1952315046.

Contact Information

	Tina Dall States, LPC
	450 Mountain View, Building C, Powell, WY 82435-1958
	(307) 254-0661
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tina Dall States
Gender	Female
Speciality	Counselor - Mental Health
Location	450 Mountain View, Powell, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952315046
Provider Enumeration Date: 07/27/2006
Last Update Date: 07/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0547657090
Enrollment ID: I20220502000347

Medical Identifiers

Medical identifiers for Tina Dall States such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952315046	NPI	-	NPPES
314239	Other	WY	BCBS/WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC 926 (Wyoming)	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. Tina Dall States allows following entities to bill medicare on her behalf.

Entity Name	Bozeman Health Deaconess Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619347390 PECOS PAC ID: 4688984164 Enrollment ID: O20151112002559

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. Tina Dall States 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
Tina Dall States, LPC 652 Cedarwood Dr, Powell, WY 82435-1743 Ph: (307) 254-0661	Tina Dall States, LPC 450 Mountain View, Building C, Powell, WY 82435-1958 Ph: (307) 254-0661

Reviews and Comments

Counselor in Powell, WY

Melissa Ginest, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 N Bent St Ste B, Powell, WY 82435 Phone: 077-644-1073 Fax: 307-764-1879
Wendy S Mcandrews, MS, CRC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 N Bent St, Powell, WY 82435 Phone: 307-254-5324 Fax: 406-764-3691
Shane Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1054 Vali Rd, Powell, WY 82435 Phone: 307-254-8129
Jessica Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1106 Julie Ln, Powell, WY 82435 Phone: 307-271-7460
Gregory James Bennett, LAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 249 E 2nd St Ste 1, Powell, WY 82435 Phone: 307-254-2038
Jessica Rapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 687 Avenue J, Powell, WY 82435 Phone: 253-820-5278
Mrs. Lisa Jane Eaton, MS OTR/L CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 N Clark St, Powell, WY 82435 Phone: 970-420-9588

Tina Dall States, LPC - Medicare Counselor in Powell, WY