Grant Thomas Gilliam, LMHC in Bloomington, IN

Grant Thomas Gilliam, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Bloomington, Indiana. His current practice location is 550 S Adams St, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 333-6324.

Grant Thomas Gilliam is licensed to practice in Indiana (license number 39003932A) 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 1730659301.

Contact Information

	Grant Thomas Gilliam, LMHC
	550 S Adams St, Bloomington, IN 47403-2165
	(812) 333-6324
	(812) 331-6700

Map and Direction

Healthcare Provider's Profile

Full Name	Grant Thomas Gilliam
Gender	Male
Speciality	Counselor - Mental Health
Location	550 S Adams St, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730659301
Provider Enumeration Date: 11/27/2018
Last Update Date: 03/25/2021

Medicare PECOS Information:

PECOS PAC ID: 0749638872
Enrollment ID: I20231129002338

Medical Identifiers

Medical identifiers for Grant Thomas Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730659301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39003932A (Indiana)	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. Grant Thomas Gilliam allows following entities to bill medicare on his behalf.

Entity Name	Stone Belt Arc, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730240888 PECOS PAC ID: 8820900111 Enrollment ID: O20031104000666

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. Grant Thomas Gilliam 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
Grant Thomas Gilliam, LMHC 550 S Adams St, Bloomington, IN 47403-2165 Ph: (812) 333-6324	Grant Thomas Gilliam, LMHC 550 S Adams St, Bloomington, IN 47403-2165 Ph: (812) 333-6324

Reviews and Comments

Counselor in Bloomington, IN

Ms. Delyn Kazdan, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1117 N Jackson St, Bloomington, IN 47404 Phone: 812-727-4181
Mrs. Molly Schoberg, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1117 N Jackson St, Bloomington, IN 47404 Phone: 812-606-0264
Ms. Sandra Clark, NCC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 N College Avenue, Suite 210a, Bloomington, IN 47404 Phone: 812-334-1324
Mr. Theodore Philip Miles, CADAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 1355 W Bloomfield Rd, Bloomington, IN 47403 Phone: 812-558-0574
Ana Maria Mclamb, MA, ATR, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 E John Hinkle Pl, Bloomington, IN 47408 Phone: 812-323-6001
Phillip Charles Librizzi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 645 South Rogers Street, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-339-8109
Debra Hoesman, Counselor Medicare: Medicare Enrolled Practice Location: 645 S Rogers St, Bloomington, IN 47403 Phone: 812-339-1691 Fax: 812-339-8109

Grant Thomas Gilliam, LMHC - Medicare Counselor in Bloomington, IN