Michelle Boren, LMHC, LCAC in La Porte, IN - Medicare Counselor Provider

Michelle Boren, LMHC, LCAC is a medicare enrolled "Counselor - Mental Health" provider in La Porte, Indiana. Her current practice location is 316 Lincolnway, La Porte, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 707-0178.

Michelle Boren is licensed to practice in Indiana (license number 39001957A) 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 1861667636.

Contact Information

	Michelle Boren, LMHC, LCAC
	316 Lincolnway, La Porte, IN 46350
	(219) 707-0178
	(219) 325-0855

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Boren
Gender	Female
Speciality	Counselor - Mental Health
Location	316 Lincolnway, La Porte, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861667636
Provider Enumeration Date: 04/23/2008
Last Update Date: 09/17/2012

Medicare PECOS Information:

PECOS PAC ID: 6305381831
Enrollment ID: I20240709002904

Medical Identifiers

Medical identifiers for Michelle Boren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861667636	NPI	-	NPPES
100163580	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	87000643A (Indiana)	Secondary
101YM0800X	Counselor - Mental Health	39001957A (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. Michelle Boren allows following entities to bill medicare on her behalf.

Entity Name	Brightside Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230615001392

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. Michelle Boren 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
Michelle Boren, LMHC, LCAC 316 Lincolnway, La Porte, IN 46350 Ph: (219) 707-0178	Michelle Boren, LMHC, LCAC 316 Lincolnway, La Porte, IN 46350 Ph: (219) 707-0178

Reviews and Comments

Counselor in La Porte, IN

Belinda C Witherow, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 State St, La Porte, IN 46350 Phone: 219-362-5000 Fax: 219-362-5005
Diane Apostoloff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 Perry St, La Porte, IN 46350 Phone: 219-809-0333 Fax: 219-531-0859
Mrs. Deana Sherbondy, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Jefferson Ave, La Porte, IN 46350 Phone: 219-898-5646
Denise Ndukwu, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Michigan Ave, La Porte, IN 46350 Phone: 219-229-0109
Susan Lenig, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Monroe St, La Porte, IN 46350 Phone: 219-229-0109
Valerie Weber, MA, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 804 Monroe St, La Porte, IN 46350 Phone: 219-229-0109
Amanda Benson, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Monroe St, La Porte, IN 46350 Phone: 219-229-0109

Michelle Boren, LMHC, LCAC - Medicare Counselor in La Porte, IN