Charisse Monique Staine, MA,MED,LPC, NCC is a medicare enrolled "Counselor - Professional" provider in Franklin, Michigan. Her current practice location is
30050 Forest Dr, Franklin, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 916-7869.
Charisse Monique Staine is licensed to practice in Michigan (license number 6401223576) 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 1689188500.
Healthcare Provider's Profile
Full Name | Charisse Monique Staine |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 30050 Forest Dr, Franklin, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689188500
- Provider Enumeration Date: 11/30/2017
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092165498
- Enrollment ID: I20231227002970
Medical Identifiers
Medical identifiers for Charisse Monique Staine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689188500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 6401223576 (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. Charisse Monique Staine allows following entities to bill medicare on her behalf.
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20190930001163 |
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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. Charisse Monique Staine 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 |
Charisse Monique Staine, MA,MED,LPC, NCC 30050 Forest Dr, Franklin, MI 48025-1575 Ph: (248) 916-7869 | Charisse Monique Staine, MA,MED,LPC, NCC 30050 Forest Dr, Franklin, MI 48025-1575 Ph: (248) 916-7869 |
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