Kim Therese Pauwels, MA, LLP in Grand Blanc, MI - Medicare Psychologist Provider

Kim Therese Pauwels, MA, LLP is a medicare enrolled "Psychologist" provider in Grand Blanc, Michigan. Her current practice location is 8245 Holly Rd Ste 200, Grand Blanc, Michigan. You can reach out to her office (for appointments etc.) via phone at (800) 693-1916.

Kim Therese Pauwels is licensed to practice in Michigan (license number 6361002044) 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 1710214945.

Contact Information

	Kim Therese Pauwels, MA, LLP
	8245 Holly Rd Ste 200, Grand Blanc, MI 48439-2483
	(800) 693-1916
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kim Therese Pauwels
Gender	Female
Speciality	Psychologist
Location	8245 Holly Rd Ste 200, Grand Blanc, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710214945
Provider Enumeration Date: 11/09/2009
Last Update Date: 08/10/2022

Medicare PECOS Information:

PECOS PAC ID: 3274989769
Enrollment ID: I20231019000608

Medical Identifiers

Medical identifiers for Kim Therese Pauwels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710214945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	(* (Not Available))	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	6301013202 (Michigan)	Secondary
103T00000X	Psychologist	6361002044 (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. Kim Therese Pauwels allows following entities to bill medicare on her behalf.

Entity Name	Green Pastures Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205564978 PECOS PAC ID: 4284019241 Enrollment ID: O20220913000415

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. Kim Therese Pauwels 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
Kim Therese Pauwels, MA, LLP 1108 Kurtz Rd, Holly, MI 48442-8314 Ph: (248) 790-7688	Kim Therese Pauwels, MA, LLP 8245 Holly Rd Ste 200, Grand Blanc, MI 48439-2483 Ph: (800) 693-1916

Reviews and Comments

Psychologist in Grand Blanc, MI

Sara Christine Ward, Psychologist Medicare: Medicare Enrolled Practice Location: 1 Genesys Parkway, Medical Education-psychology, Grand Blanc, MI 48439 Phone: 810-606-6954
Thomas Martin Starzynski, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8203 S Saginaw St, Grand Blanc, MI 48439 Phone: 269-983-4751
Marianne Goergen, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8435 Holly Rd, Grand Blanc, MI 48439 Phone: 810-424-2400 Fax: 810-579-7222
Patchawan Phunwutikorn, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5126
Noel A. Dryden-minger, MS, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10785 S Saginaw St, Bldg. E, Suite A, Grand Blanc, MI 48439 Phone: 810-695-0055 Fax: 810-695-6813
Samantha Schires, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000
Myra F. Alliston, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8435 Holly Rd, Grand Blanc, MI 48439 Phone: 810-424-2400 Fax: 810-579-7222

Kim Therese Pauwels, MA, LLP - Medicare Psychologist in Grand Blanc, MI