Ms Davison Sarai Nicholas, LPC in Grandville, MI

Ms Davison Sarai Nicholas, LPC is a medicare enrolled "Counselor - Professional" provider in Grandville, Michigan. Her current practice location is 4370 Chicago Dr Sw, Grandville, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 215-1454.

Ms Davison Sarai Nicholas is licensed to practice in Michigan (license number 6401019337) 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 1114273653.

Contact Information

	Ms Davison Sarai Nicholas, LPC
	4370 Chicago Dr Sw, Grandville, MI 49418-1694
	(269) 215-1454
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Davison Sarai Nicholas
Gender	Female
Speciality	Counselor - Professional
Location	4370 Chicago Dr Sw, Grandville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114273653
Provider Enumeration Date: 08/02/2012
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9234582727
Enrollment ID: I20240131004091

Medical Identifiers

Medical identifiers for Ms Davison Sarai Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114273653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	6401012436 (Michigan)	Secondary
101YP2500X	Counselor - Professional	6401019337 (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. Ms Davison Sarai Nicholas allows following entities to bill medicare on her behalf.

Entity Name	Suppression Expression Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811641855 PECOS PAC ID: 2365801933 Enrollment ID: O20230630000271

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. Ms Davison Sarai Nicholas 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
Ms Davison Sarai Nicholas, LPC 1116 Jackson Street, Kalamazoo, MI 49001 Ph: (269) 215-1454	Ms Davison Sarai Nicholas, LPC 4370 Chicago Dr Sw, Grandville, MI 49418-1694 Ph: (269) 215-1454

Reviews and Comments

Counselor in Grandville, MI

Byron Otoniel Salguero, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4230 Chaminade St Sw, Grandville, MI 49418 Phone: 616-510-9027
Sean Corbin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4565 Wilson Ave Sw Ste 1a, Grandville, MI 49418 Phone: 616-591-9000
Mary Thornsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4565 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-502-3480
Angela Welch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 44th St Sw, Grandville, MI 49418 Phone: 616-244-2246
Mrs. Andrea Christine Lehman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2976 Ivanrest Ave Sw 205, Grandville, MI 49505 Phone: 616-706-5702
Lisbet Brito, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4565 Wilson Ave Sw Ste 4a, Grandville, MI 49418 Phone: 616-591-9000 Fax: 616-432-3059

Ms Davison Sarai Nicholas, LPC - Medicare Counselor in Grandville, MI