Laurel Christine Bourgeois, MSSA LISW-S,LCSW in Niles, MI

Laurel Christine Bourgeois, MSSA LISW-S,LCSW is a medicare enrolled "Social Worker - Clinical" provider in Niles, Michigan. Her current practice location is 30754 Rocking Horse Ln, Niles, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 202-8368.

Laurel Christine Bourgeois is licensed to practice in Ohio (license number I.1901949-SUPV) 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 1922724392.

Contact Information

	Laurel Christine Bourgeois, MSSA LISW-S,LCSW
	30754 Rocking Horse Ln, Niles, MI 49120-5096
	(269) 202-8368
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laurel Christine Bourgeois
Gender	Female
Speciality	Social Worker - Clinical
Location	30754 Rocking Horse Ln, Niles, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922724392
Provider Enumeration Date: 10/17/2022
Last Update Date: 08/21/2024

Medicare PECOS Information:

PECOS PAC ID: 8426594631
Enrollment ID: I20240724002471

Medical Identifiers

Medical identifiers for Laurel Christine Bourgeois such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922724392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(Indiana)	Secondary
1041C0700X	Social Worker - Clinical	(Michigan)	Secondary
1041C0700X	Social Worker - Clinical	I.1901949-SUPV (Ohio)	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. Laurel Christine Bourgeois allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220824000871

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. Laurel Christine Bourgeois 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
Laurel Christine Bourgeois, MSSA LISW-S,LCSW 126 E Kilgore Rd Ste 400, Portage, MI 49002-0596 Ph: (269) 202-8368	Laurel Christine Bourgeois, MSSA LISW-S,LCSW 30754 Rocking Horse Ln, Niles, MI 49120-5096 Ph: (269) 202-8368

Reviews and Comments

Social Worker in Niles, MI

Mrs. Sangeetha Harikrishnan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 S 11th St # 109, Niles, MI 49120 Phone: 269-684-7741
Ms. Melissa A Longley, MSW, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 333 N. Second Street, Suite 303, Niles, MI 49120 Phone: 574-220-5041
Mr. Patrick John Murphy, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 115 S St Joseph Ave, Niles, MI 49120 Phone: 269-684-4070 Fax: 269-684-4070
Teresa Josephine Kaminski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 S 11th St, Niles, MI 49120 Phone: 269-684-7741
Mrs. Michele Angela Fanfair-steury, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N 3rd St, Niles, MI 49120 Phone: 269-683-8972 Fax: 269-683-0449
Mr. Clarence James, MASTER OF SOCIAL WOR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 S 11th St, Niles, MI 49120 Phone: 269-684-7741
Mr. Joe Francisco, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 24 N Saint Joseph Ave, Suite G, Niles, MI 49120 Phone: 269-684-6870 Fax: 574-252-4159

Laurel Christine Bourgeois, MSSA LISW-S,LCSW - Medicare Clinical Social Worker in Niles, MI