Mr Clint Ross, LMHC in Gulfport, FL - Medicare Counselor Provider

Mr Clint Ross, LMHC is a medicare enrolled "Counselor - Professional" provider in Gulfport, Florida. His current practice location is 5610 14th Ave S, Gulfport, Florida. You can reach out to his office (for appointments etc.) via phone at (270) 604-3016.

Mr Clint Ross is licensed to practice in Florida (license number MH19899) 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 1518258920.

Contact Information

	Mr Clint Ross, LMHC
	5610 14th Ave S, Gulfport, FL 33707-3419
	(270) 604-3016
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clint Ross
Gender	Male
Speciality	Counselor - Professional
Location	5610 14th Ave S, Gulfport, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518258920
Provider Enumeration Date: 04/20/2011
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 3577900125
Enrollment ID: I20240319002407

Medical Identifiers

Medical identifiers for Mr Clint Ross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518258920	NPI	-	NPPES
30604011	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	MH19899 (Florida)	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. Mr Clint Ross 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: O20210414000053

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. Mr Clint Ross 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
Mr Clint Ross, LMHC 5610 14th Ave S, Gulfport, FL 33707-3419 Ph: (270) 604-3016	Mr Clint Ross, LMHC 5610 14th Ave S, Gulfport, FL 33707-3419 Ph: (270) 604-3016

Reviews and Comments

Counselor in Gulfport, FL

Melissa Lynne Roley, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5121 27th Ave S, Gulfport, FL 33707 Phone: 912-323-7694
Melissa Lee Georgopolis, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 20th Ave S, Gulfport, FL 33707 Phone: 727-344-7646
Mark Matthew Sieg I, CAP, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5826 27th Ave S, Gulfport, FL 33707 Phone: 727-301-0016
Mrs. Zaneta Ellison, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 49th St S, Gulfport, FL 33707 Phone: 727-687-0997
Ms. Jamie Renee Klemzak, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 2309 49th St S, Gulfport, FL 33707 Phone: 727-300-6790
Elizabeth S Kiebzak, LCSW, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 5122 Gulfport Blvd S, Gulfport, FL 33707 Phone: 727-322-6149

Mr Clint Ross, LMHC - Medicare Counselor in Gulfport, FL