Macall Tourdot, MFT is a medicare enrolled "Marriage & Family Therapist" provider in New Lisbon, Wisconsin. Her current practice location is
304 Bickford St, New Lisbon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 562-3976.
Macall Tourdot is licensed to practice in * (Not Available) (license number ) 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 1447829262.
Healthcare Provider's Profile
| Full Name | Macall Tourdot |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 304 Bickford St, New Lisbon, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447829262
- Provider Enumeration Date: 06/24/2021
- Last Update Date: 06/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810424710
- Enrollment ID: I20241217000173
Medical Identifiers
Medical identifiers for Macall Tourdot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447829262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | 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. Macall Tourdot allows following entities to bill medicare on her behalf.
| Entity Name | Grace Counseling & Family Services Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477178473
PECOS PAC ID: 1951748078
Enrollment ID: O20240326000517 |
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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. Macall Tourdot 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 |
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Macall Tourdot, MFT
Po Box 17,
New Lisbon, WI 53950-0017
Ph: (608) 562-3976 | Macall Tourdot, MFT
304 Bickford St,
New Lisbon, WI 53950-1533
Ph: (608) 562-3976 |
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