Cecilia Mae Skidmore, MA, LPC in Grand Rapids, MI

Cecilia Mae Skidmore, MA, LPC is a medicare enrolled "Counselor - Mental Health" provider in Grand Rapids, Michigan. Her current practice location is 1514 Wealthy St Se, Suite 260, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 451-3008.

Cecilia Mae Skidmore is licensed to practice in Michigan (license number 6401001787) 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 1760533632.

Contact Information

	Cecilia Mae Skidmore, MA, LPC
	1514 Wealthy St Se, Suite 260, Grand Rapids, MI 49506-2755
	(616) 451-3008
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cecilia Mae Skidmore
Gender	Female
Speciality	Counselor - Mental Health
Location	1514 Wealthy St Se, 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: 1760533632
Provider Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7517863079
Enrollment ID: I20240412003246

Medical Identifiers

Medical identifiers for Cecilia Mae Skidmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760533632	NPI	-	NPPES
6401001767	Other	MI	COUNSELOR LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401001787 (Michigan)	Primary

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. Cecilia Mae Skidmore 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
Cecilia Mae Skidmore, MA, LPC 1554 Mackinaw Rd Se, Grand Rapids, MI 49506-3349 Ph: (616) 241-2413	Cecilia Mae Skidmore, MA, LPC 1514 Wealthy St Se, Suite 260, Grand Rapids, MI 49506-2755 Ph: (616) 451-3008

Reviews and Comments

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Cecilia Mae Skidmore, MA, LPC - Medicare Counselor in Grand Rapids, MI