Douglas Shotsky, PC in Adrian, MI - Medicare Counselor Provider

Douglas Shotsky, PC is a medicare enrolled "Counselor - Professional" provider in Adrian, Michigan. His current practice location is 1040 S Winter St Ste 1022, Adrian, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 264-0142.

Douglas Shotsky is licensed to practice in Ohio (license number C1000391) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770829376.

Contact Information

	Douglas Shotsky, PC
	1040 S Winter St Ste 1022, Adrian, MI 49221-3876
	(517) 264-0142
	(517) 263-7616

Map and Direction

Healthcare Provider's Profile

Full Name	Douglas Shotsky
Gender	Male
Speciality	Counselor - Professional
Location	1040 S Winter St Ste 1022, Adrian, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770829376
Provider Enumeration Date: 12/31/2012
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4880120849
Enrollment ID: I20241213001605

Medical Identifiers

Medical identifiers for Douglas Shotsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770829376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C1000391 (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. Douglas Shotsky allows following entities to bill medicare on his 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. Douglas Shotsky 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
Douglas Shotsky, PC 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 Ph: (517) 264-0142	Douglas Shotsky, PC 1040 S Winter St Ste 1022, Adrian, MI 49221-3876 Ph: (517) 264-0142

Reviews and Comments

Counselor in Adrian, MI

Sadie Carrico, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 N Main St Ste 201, Adrian, MI 49221 Phone: 517-438-0045
Whitney Alysse Puckey, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 N Main St, Adrian, MI 49221 Phone: 517-265-5352 Fax: 517-263-6090
Ms. Kelly M. Clute, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 W Maumee St, Adrian, MI 49221 Phone: 517-266-8880
Sue Ann Kane, RN, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4650 W Us Highway 223, Adrian, MI 49221 Phone: 517-266-2588 Fax: 517-266-0224
Ms. Kathleen J/ Betzoldt, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 W Maumee St, Adrian, MI 49221 Phone: 517-266-8880
Mrs. Caroline Marie Zavala, MA, LPC, IMH-E(II) Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Riverside Ave, Adrian, MI 49221 Phone: 313-757-2279
Mr. Paul Farley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 N Broad St, Adrian, MI 49221 Phone: 517-260-9587

Douglas Shotsky, PC - Medicare Counselor in Adrian, MI