Ms Heather Lynn Sandoval, LLMSW in Southgate, MI

Ms Heather Lynn Sandoval, LLMSW is a medicare enrolled "Counselor - Mental Health" provider in Southgate, Michigan. Her current practice location is 13101 Allen Rd, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 785-7700.

Ms Heather Lynn Sandoval is licensed to practice in Michigan (license number 6801106791) 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 1790306835.

Contact Information

	Ms Heather Lynn Sandoval, LLMSW
	13101 Allen Rd, Southgate, MI 48195-2216
	(734) 785-7700
	(734) 287-1953

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Heather Lynn Sandoval
Gender	Female
Speciality	Counselor - Mental Health
Location	13101 Allen Rd, Southgate, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790306835
Provider Enumeration Date: 04/29/2020
Last Update Date: 04/29/2020

Medicare PECOS Information:

PECOS PAC ID: 5991170912
Enrollment ID: I20230405000941

Medical Identifiers

Medical identifiers for Ms Heather Lynn Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790306835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6801106791 (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 Heather Lynn Sandoval allows following entities to bill medicare on her behalf.

Entity Name	The Guidance Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609947027 PECOS PAC ID: 8022171735 Enrollment ID: O20090107000136

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 Heather Lynn Sandoval 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 Heather Lynn Sandoval, LLMSW 7371 Hartel St, Westland, MI 48185-2536 Ph: (734) 634-9487	Ms Heather Lynn Sandoval, LLMSW 13101 Allen Rd, Southgate, MI 48195-2216 Ph: (734) 785-7700

Reviews and Comments

Counselor in Southgate, MI

Elizabeth Magana Shaw, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd Ste 500, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953
Caitlin Witt, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13305 Reeck Ct, Southgate, MI 48195 Phone: 734-225-2090
Nichole Marbury, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953
Amber Elizabeth Keyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 989-598-0026
Lisa Goss, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700
Ashley Marie Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd Bldg 4, Southgate, MI 48195 Phone: 734-787-4053
Wanda Denise Phelps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7714

Ms Heather Lynn Sandoval, LLMSW - Medicare Counselor in Southgate, MI