Mrs Samantha Renner, MS, LMHC in Spokane, WA - Medicare Counselor Provider

Mrs Samantha Renner, MS, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Spokane, Washington. Her current practice location is 3754 W Indian Trail Rd, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 866-4112.

Mrs Samantha Renner is licensed to practice in Washington (license number LH60476471) 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 1174993802.

Contact Information

	Mrs Samantha Renner, MS, LMHC
	3754 W Indian Trail Rd, Spokane, WA 99208-4736
	(509) 866-4112
	(509) 588-7437

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Samantha Renner
Gender	Female
Speciality	Counselor - Mental Health
Location	3754 W Indian Trail Rd, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174993802
Provider Enumeration Date: 10/07/2015
Last Update Date: 03/18/2024

Medicare PECOS Information:

PECOS PAC ID: 2365880176
Enrollment ID: I20240328004012

Medical Identifiers

Medical identifiers for Mrs Samantha Renner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174993802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH60476471 (Washington)	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. Mrs Samantha Renner allows following entities to bill medicare on her behalf.

Entity Name	Excelsior Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326267055 PECOS PAC ID: 0749511418 Enrollment ID: O20191010000957

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. Mrs Samantha Renner 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
Mrs Samantha Renner, MS, LMHC 3754 W Indian Trail Rd, Spokane, WA 99208-4736 Ph: (509) 866-4112	Mrs Samantha Renner, MS, LMHC 3754 W Indian Trail Rd, Spokane, WA 99208-4736 Ph: (509) 866-4112

Reviews and Comments

Counselor in Spokane, WA

Kelli J George, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1803 W Maxwell Ave, Spokane, WA 99201 Phone: 509-325-5502
Ashlee Guckel, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 100 N Howard St Ste R, Spokane, WA 99201 Phone: 971-910-3182
Anna Lisa Ochiltre, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2118 E Sprague Ave, Spokane, WA 99202 Phone: 509-838-4128 Fax: 509-838-4816
Michael Robert Sullivan, MSW Counselor Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651
Simonne Marie Crooks, BA, SUDP, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 S Thor St, Spokane, WA 99202 Phone: 509-532-2000 Fax: 509-532-2005
Sandra Kay Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 Phone: 509-838-6092
Laura Ann Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 Fax: 509-326-5025

Mrs Samantha Renner, MS, LMHC - Medicare Counselor in Spokane, WA