Nicole Marie Bryant, LPC in Southgate, MI - Medicare Counselor Provider

Nicole Marie Bryant, LPC is a medicare enrolled "Counselor - Professional" 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.

Nicole Marie Bryant is licensed to practice in Michigan (license number 6401011946) 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 1518205376.

Contact Information

	Nicole Marie Bryant, LPC
	13101 Allen Rd, Southgate, MI 48195-2216
	(734) 785-7700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Marie Bryant
Gender	Female
Speciality	Counselor - Professional
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: 1518205376
Provider Enumeration Date: 01/29/2013
Last Update Date: 01/29/2013

Medicare PECOS Information:

PECOS PAC ID: 0345698999
Enrollment ID: I20231121001690

Medical Identifiers

Medical identifiers for Nicole Marie Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518205376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401011946 (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. Nicole Marie Bryant allows following entities to bill medicare on her behalf.

Entity Name	Ascension Eastwood Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396787701 PECOS PAC ID: 2163324492 Enrollment ID: O20040126000572

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. Nicole Marie Bryant 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
Nicole Marie Bryant, LPC 15593 Knollwood Dr, Dearborn, MI 48120-1353 Ph: (419) 944-4590	Nicole Marie Bryant, LPC 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

Nicole Marie Bryant, LPC - Medicare Counselor in Southgate, MI