Mrs Renee Lynn Strothman Petkovich, TLLP in Monroe, MI

Mrs Renee Lynn Strothman Petkovich, TLLP is a medicare enrolled "Psychologist - Counseling" provider in Monroe, Michigan. Her current practice location is 110 Glendale Ct, Monroe, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 790-0701.

Mrs Renee Lynn Strothman Petkovich is licensed to practice in Michigan (license number 6361007547) 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 1558704395.

Contact Information

	Mrs Renee Lynn Strothman Petkovich, TLLP
	110 Glendale Ct, Monroe, MI 48162-2605
	(734) 790-0701
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Renee Lynn Strothman Petkovich
Gender	Female
Speciality	Psychologist - Counseling
Location	110 Glendale Ct, Monroe, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558704395
Provider Enumeration Date: 04/11/2013
Last Update Date: 09/09/2025

Medicare PECOS Information:

PECOS PAC ID: 5799212957
Enrollment ID: I20241230001426

Medical Identifiers

Medical identifiers for Mrs Renee Lynn Strothman Petkovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558704395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	6361007547 (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. Mrs Renee Lynn Strothman Petkovich allows following entities to bill medicare on her behalf.

Entity Name	Pure Psychiatry Of Michigan Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831701671 PECOS PAC ID: 1254741283 Enrollment ID: O20201103002311

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. Mrs Renee Lynn Strothman Petkovich 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
Mrs Renee Lynn Strothman Petkovich, TLLP 19805 Farmington Rd, Livonia, MI 48152-1444 Ph: () -	Mrs Renee Lynn Strothman Petkovich, TLLP 110 Glendale Ct, Monroe, MI 48162-2605 Ph: (734) 790-0701

Reviews and Comments

Psychologist in Monroe, MI

Lindsay Emerson, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1285 N Telegraph Rd # 115, Monroe, MI 48162 Phone: 734-410-5182
Joseph Robert Kinel, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 750 S Monroe St, Monroe, MI 48161 Phone: 734-735-1879
Dayna Root, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23 W 1st St, Monroe, MI 48161 Phone: 734-639-2262
Dr. Paula Lynn Whitman, PSY.D, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Island St, Monroe, MI 48161 Phone: 734-384-8922 Fax: 734-384-8922
Kris Karwowski, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22 W 2nd St, Monroe, MI 48161 Phone: 734-241-7478
Miss Tracy Lynn Gomez, PSYD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 730 N Macomb St Ste 200, Monroe, MI 48162 Phone: 734-240-1760
Ms. Jennifer Lynn Westfal, MS LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-243-7340

Mrs Renee Lynn Strothman Petkovich, TLLP - Medicare Psychologist in Monroe, MI