Ms Mary Grace Portell, LPC in Saint Louis, MO

Ms Mary Grace Portell, LPC is a medicare enrolled "Counselor - Professional" provider in Saint Louis, Missouri. Her current practice location is 4444 Forest Park Ave, Ste 2600, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 286-1700.

Ms Mary Grace Portell is licensed to practice in Missouri (license number 2008013971) 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 1013286996.

Contact Information

	Ms Mary Grace Portell, LPC
	4444 Forest Park Ave, Ste 2600, Saint Louis, MO 63108-2212
	(314) 286-1700
	(314) 286-1777

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mary Grace Portell
Gender	Female
Speciality	Counselor - Professional
Location	4444 Forest Park Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013286996
Provider Enumeration Date: 12/21/2011
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0648615393
Enrollment ID: I20240304002515

Medical Identifiers

Medical identifiers for Ms Mary Grace Portell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013286996	NPI	-	NPPES
490002574	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2008013971 (Missouri)	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 Mary Grace Portell allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003856592 PECOS PAC ID: 9830008770 Enrollment ID: O20031211000237

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 Mary Grace Portell 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 Mary Grace Portell, LPC Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 286-1700	Ms Mary Grace Portell, LPC 4444 Forest Park Ave, Ste 2600, Saint Louis, MO 63108-2212 Ph: (314) 286-1700

Reviews and Comments

Counselor in Saint Louis, MO

Ms. Shirley Ann Wells, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 S. Kingshighway Blvd, Family Resource Center, Saint Louis, MO 63139 Phone: 314-534-1204
Mr. Eric Scott Baile, M.DIV., MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 763 S New Ballas Rd, Suite 340, Saint Louis, MO 63141 Phone: 314-872-2972 Fax: 314-872-2975
William Lagrand, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9200 Watson Rd, Ste. G101, Saint Louis, MO 63126 Phone: 314-544-3800 Fax: 314-843-0552
Mary Ann Williamson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7777 Bonhomme Ave, Suite 909, Saint Louis, MO 63105 Phone: 800-356-0845
Erin Rachel Hendrickson, MAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Hampton Ave, Saint Louis, MO 63139 Phone: 314-913-3691
Bobby Joe Goodman, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5501 Delmar Blvd Ste B300, Saint Louis, MO 63112 Phone: 314-469-4908
Andrew Bryan Conrad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10845 Olive Blvd Ste 150, Saint Louis, MO 63141 Phone: 314-561-9757

Ms Mary Grace Portell, LPC - Medicare Counselor in Saint Louis, MO