Ian Goldsbrough, MS, LPC in Saint Clair Shores, MI

Ian Goldsbrough, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Saint Clair Shores, Michigan. His current practice location is 24715 Little Mack Ave Ste 200, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 882-3732.

Ian Goldsbrough is licensed to practice in Michigan (license number 6401018782) 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 1750894515.

Contact Information

	Ian Goldsbrough, MS, LPC
	24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-3207
	(517) 882-3732
	(517) 882-3633

Map and Direction

Healthcare Provider's Profile

Full Name	Ian Goldsbrough
Gender	Male
Speciality	Counselor - Professional
Location	24715 Little Mack Ave Ste 200, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750894515
Provider Enumeration Date: 11/14/2017
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3577913300
Enrollment ID: I20231220001090

Medical Identifiers

Medical identifiers for Ian Goldsbrough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750894515	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401018782 (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. Ian Goldsbrough allows following entities to bill medicare on his behalf.

Entity Name	Downriver Mental Health Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533

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. Ian Goldsbrough 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
Ian Goldsbrough, MS, LPC 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-3207 Ph: (517) 882-3732	Ian Goldsbrough, MS, LPC 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080-3207 Ph: (517) 882-3732

Reviews and Comments

Counselor in Saint Clair Shores, MI

Kathleen Mousseau, LPC Counselor Medicare: Medicare Enrolled Practice Location: 22455 Lakeland St, Saint Clair Shores, MI 48081 Phone: 586-216-2550
Felicia Hill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080 Phone: 517-882-3732 Fax: 517-882-3633
Marsha Jo Milan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22708 Harper Ave, Saint Clair Shores, MI 48080 Phone: 586-445-2210
Dr. Sameerah Davenport, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22020 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 313-559-2013
Ms. Kathleen Marie Vanneste-kortebein, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27735 Jefferson Ave, Saint Clair Shores, MI 48081 Phone: 586-777-8929
Dana Elizabeth Ries, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25401 Harper Ave, Saint Clair Shores, MI 48081 Phone: 586-466-6912
Kayla Pacic, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 23100 Jefferson Ave, Saint Clair Shores, MI 48080 Phone: 586-335-2006

Ian Goldsbrough, MS, LPC - Medicare Counselor in Saint Clair Shores, MI