Angela M Redwine, PHD, LPC-MHSP - Medicare in Tullahoma, TN

Angela M Redwine, PHD, LPC-MHSP is a medicare enrolled "Counselor - Professional" provider in Tullahoma, Tennessee. 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 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 1639347636.

Contact Information

Angela M Redwine, PHD, LPC-MHSP
1511 N Jackson St,
Tullahoma, TN 37388-2343
(931) 455-6213
(931) 455-6225



Healthcare Provider's Profile

Full NameAngela M Redwine
GenderFemale
SpecialityCounselor - Professional
Location1511 N Jackson St, Tullahoma, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1639347636NPI-NPPES
2784OtherTNLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0700XPsychologist - Adult Development & Aging (* (Not Available))Secondary
101YP2500XCounselor - Professional 2784 (Tennessee)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. Angela M Redwine allows following entities to bill medicare on her behalf.
Entity NameGenerations Health Association, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
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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