Mrs Shanita Theil, MA LPC in Grandville, MI - Medicare Counselor Provider

Mrs Shanita Theil, MA LPC is a medicare enrolled "Counselor - Professional" provider in Grandville, Michigan. Her current practice location is 4211 Parkway Place Dr Sw, Grandville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 222-3700.

Mrs Shanita Theil is licensed to practice in Michigan (license number 6401014175) 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 1255732921.

Contact Information

	Mrs Shanita Theil, MA LPC
	4211 Parkway Place Dr Sw, Grandville, MI 49418-2695
	(616) 222-3700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shanita Theil
Gender	Female
Speciality	Counselor - Professional
Location	4211 Parkway Place 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: 1255732921
Provider Enumeration Date: 09/11/2014
Last Update Date: 12/20/2023

Medicare PECOS Information:

PECOS PAC ID: 8921459868
Enrollment ID: I20240104004125

Medical Identifiers

Medical identifiers for Mrs Shanita Theil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255732921	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401014175 (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 Shanita Theil allows following entities to bill medicare on her behalf.

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149

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 Shanita Theil 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 Shanita Theil, MA LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000	Mrs Shanita Theil, MA LPC 4211 Parkway Place Dr Sw, Grandville, MI 49418-2695 Ph: (616) 222-3700

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
Ms. Davison Sarai Nicholas, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4370 Chicago Dr Sw, Grandville, MI 49418 Phone: 269-215-1454
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

Mrs Shanita Theil, MA LPC - Medicare Counselor in Grandville, MI