Victoria Fetter, in Bloomington, IL - Medicare Counselor Provider

Victoria Fetter, is a medicare enrolled "Counselor - Mental Health" provider in Bloomington, Illinois. Her current practice location is 808 S Eldorado Rd Ste 102, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 428-7890.

Victoria Fetter is licensed to practice in Illinois (license number 180015113) 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 1003439340.

Contact Information

	Victoria Fetter,
	808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075
	(888) 428-7890
	(877) 428-7891

Map and Direction

Healthcare Provider's Profile

Full Name	Victoria Fetter
Gender	Female
Speciality	Counselor - Mental Health
Location	808 S Eldorado Rd Ste 102, Bloomington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003439340
Provider Enumeration Date: 05/21/2020
Last Update Date: 01/23/2025

Medicare PECOS Information:

PECOS PAC ID: 1052763661
Enrollment ID: I20240119000496

Medical Identifiers

Medical identifiers for Victoria Fetter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003439340	NPI	-	NPPES
370915481007	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	180.015113 (Illinois)	Secondary
101YP2500X	Counselor - Professional	180015113 (Illinois)	Secondary
101YM0800X	Counselor - Mental Health	180015113 (Illinois)	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. Victoria Fetter allows following entities to bill medicare on her behalf.

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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. Victoria Fetter 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
Victoria Fetter, 808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075 Ph: (888) 428-7890	Victoria Fetter, 808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075 Ph: (888) 428-7890

Reviews and Comments

Counselor in Bloomington, IL

Mr. Bryan James Hinman, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-557-1409
William Douglas Portis, LCPC CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704 Phone: 309-889-6222
Timothy Robert Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351
Mr. Joshua Beckwith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808
Mrs. Lisa Diane Neuweg, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Chestnut St, Bloomington, IL 61701 Phone: 309-827-6026
Mr. Harold Frank Piccinelli, M.S., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Martin Luther King Dr, Bloomington, IL 61701 Phone: 309-827-6026

Victoria Fetter, - Medicare Counselor in Bloomington, IL