Shelby Nicole Terpstra, in Grand Rapids, MI - Medicare Social Worker Provider

Shelby Nicole Terpstra, is a medicare enrolled "Social Worker - Clinical" provider in Grand Rapids, Michigan. Her current practice location is 1939 S Division Ave., Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 247-3815.

Shelby Nicole Terpstra is licensed to practice in Michigan (license number 6801108163) 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 1457831711.

Contact Information

	Shelby Nicole Terpstra,
	1939 S Division Ave., Grand Rapids, MI 49507
	(616) 247-3815
	(616) 245-0450

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby Nicole Terpstra
Gender	Female
Speciality	Social Worker - Clinical
Location	1939 S Division Ave., Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457831711
Provider Enumeration Date: 08/16/2018
Last Update Date: 03/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4880032408
Enrollment ID: I20240402002279

Medical Identifiers

Medical identifiers for Shelby Nicole Terpstra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457831711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801108163 (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. Shelby Nicole Terpstra allows following entities to bill medicare on her behalf.

Entity Name	Kent County Cmh Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588935068 PECOS PAC ID: 9436314143 Enrollment ID: O20120703000167

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. Shelby Nicole Terpstra 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
Shelby Nicole Terpstra, 1939 S Division Ave., Grand Rapids, MI 49507 Ph: (616) 247-3815	Shelby Nicole Terpstra, 1939 S Division Ave., Grand Rapids, MI 49507 Ph: (616) 247-3815

Reviews and Comments

Social Worker in Grand Rapids, MI

Jillian Leigh Murray, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000
Mrs. Sarah Lynn Bylsma, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1471 Grace St Se, Grand Rapids, MI 49506 Phone: 616-913-2006 Fax: 616-913-2005
Ashleigh Smith, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3351 Claystone St Se Ste G32, Grand Rapids, MI 49546 Phone: 510-495-0756
Diana Duarte-menendez, MSW 6851109554 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 790 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 616-336-3909
Mrs. Rebecca Joy Back, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 269-929-7342
Ms. Joanne Martha Reen, MSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1939 S Division Ave, Family Outreach Center, Grand Rapids, MI 49507 Phone: 616-247-3815 Fax: 616-245-0450
Lenin Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 790 Fuller Ne, Grand Rapids, MI 49503 Phone: 616-304-7768

Shelby Nicole Terpstra, - Medicare Clinical Social Worker in Grand Rapids, MI