Angela M Redwine, PHD, LPC-MHSP is a medicare enrolled "Counselor - Professional" provider in Tullahoma, Tennessee. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Generations Health Association, Inc and her current practice location is
1511 N Jackson St, Tullahoma, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 455-6213.
Angela M Redwine is licensed to practice in Tennessee (license number 2784) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639347636.
Healthcare Provider's Profile
| Full Name | Angela M Redwine |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 16 Years |
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| Location | 1511 N Jackson St, Tullahoma, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angela M Redwine graduated from medical school in 2009
NPI Data:
- NPI Number: 1639347636
- Provider Enumeration Date: 02/13/2008
- Last Update Date: 04/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 8628420437
- Enrollment ID: I20240117002982
Medical Identifiers
Medical identifiers for Angela M Redwine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639347636 | NPI | - | NPPES |
| 2784 | Other | TN | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 2784 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Generations Health Association, Inc | 3779491907 | 26 |
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. Angela M Redwine allows following entities to bill medicare on her behalf.
| Entity Name | Generations Health Association, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245212380
PECOS PAC ID: 3779491907
Enrollment ID: O20041208000500 |
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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. Angela M Redwine 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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Angela M Redwine, PHD, LPC-MHSP
Po Box 640,
Mcminnville, TN 37111-0640
Ph: (931) 507-1212 | Angela M Redwine, PHD, LPC-MHSP
1511 N Jackson St,
Tullahoma, TN 37388-2343
Ph: (931) 455-6213 |
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