Mrs Shandra Smith, MA, LLPC in Spring Lake, MI

Mrs Shandra Smith, MA, LLPC is a medicare enrolled "Counselor - Professional" provider in Spring Lake, Michigan. Her current practice location is 17224 Van Wagoner Rd, Spring Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 296-2130.

Mrs Shandra Smith is licensed to practice in Michigan (license number 6401014110) 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 1518589126.

Contact Information

	Mrs Shandra Smith, MA, LLPC
	17224 Van Wagoner Rd, Spring Lake, MI 49456-9702
	(616) 296-2130
	(616) 296-2148

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shandra Smith
Gender	Female
Speciality	Counselor - Professional
Location	17224 Van Wagoner Rd, Spring Lake, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518589126
Provider Enumeration Date: 05/18/2020
Last Update Date: 05/18/2020

Medicare PECOS Information:

PECOS PAC ID: 2062857451
Enrollment ID: I20240226000468

Medical Identifiers

Medical identifiers for Mrs Shandra Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518589126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401014110 (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. Mrs Shandra Smith allows following entities to bill medicare on her behalf.

Entity Name	Kristine Koetje Ma, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316010770 PECOS PAC ID: 3375701873 Enrollment ID: O20120229000489

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 Shandra Smith 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 Shandra Smith, MA, LLPC 2655 Simonelli Rd, Muskegon, MI 49445-8678 Ph: (231) 766-2969	Mrs Shandra Smith, MA, LLPC 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (616) 296-2130

Reviews and Comments

Counselor in Spring Lake, MI

Mr. Mark E Olsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130
Mr. Douglas Alan Wilson, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-799-8182 Fax: 616-296-2148
Kyle John-arthur Parcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130
Leeanna April Peter, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130
Amanda Vergin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 N Buchanan St, Spring Lake, MI 49456 Phone: 586-924-0125
Dana Leigh Hood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17214 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-670-0663
Ms. Gretchen Lawrence, LPC Counselor Medicare: Medicare Enrolled Practice Location: 109 S Jackson St, Spring Lake, MI 49456 Phone: 616-842-0405 Fax: 616-842-0405

Mrs Shandra Smith, MA, LLPC - Medicare Counselor in Spring Lake, MI