Victoria Evangelista, in Clarkston, MI - Medicare Counselor Provider

Victoria Evangelista, is a medicare enrolled "Counselor" provider in Clarkston, Michigan. Her current practice location is 6548 Town Center Dr Ste D, Clarkston, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 244-8052.

Victoria Evangelista is licensed to practice in Michigan (license number 6401019743) 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 1326439399.

Contact Information

	Victoria Evangelista,
	6548 Town Center Dr Ste D, Clarkston, MI 48346-4823
	(586) 244-8052
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Victoria Evangelista
Gender	Female
Speciality	Counselor
Location	6548 Town Center Dr Ste D, Clarkston, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326439399
Provider Enumeration Date: 02/12/2015
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 4486093788
Enrollment ID: I20240419000881

Medical Identifiers

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

Identifier	Type	State	Issuer
1326439399	NPI	-	NPPES
101YA0400X	Medicaid	MI
1326439399	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	6401017276 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	6401019743 (Michigan)	Secondary
101Y00000X	Counselor	6401019743 (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. Victoria Evangelista allows following entities to bill medicare on her behalf.

Entity Name	Thrive Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245667443 PECOS PAC ID: 2264664630 Enrollment ID: O20140417001020

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 Evangelista 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 Evangelista, 1697 Cardiff Row, Superior Township, MI 48198-3587 Ph: (586) 244-8052	Victoria Evangelista, 6548 Town Center Dr Ste D, Clarkston, MI 48346-4823 Ph: (586) 244-8052

Reviews and Comments

Counselor in Clarkston, MI

Scott A Hall, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5869 Dixie Hwy, Clarkston, MI 48346 Phone: 248-909-1869 Fax: 248-605-8599
Mackenzie Michael Crandall, LLPC, MA, TLLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 5980 S Main St Ste 101, Clarkston, MI 48346 Phone: 248-625-2970
Nicole Harty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7640 Dixie Hwy Ste 155, Clarkston, MI 48346 Phone: 248-791-9266
Mrs. Rebecca Sue Walker, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9220 Sashabaw Rd, Clarkston, MI 48348 Phone: 810-348-4853
Allison Ann Irving, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6851 Clintonville Rd, Clarkston, MI 48348 Phone: 313-268-4276
Ms. Kaura H. Africa, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8062 Ortonville Rd, Clarkston, MI 48348 Phone: 248-625-2970
Ms. Marie Anna Megahan, M.A. IN COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 8062 Ortonville Rd, Clarkston, MI 48348 Phone: 248-625-2970

Victoria Evangelista, - Medicare Counselor in Clarkston, MI