Samantha Marie Grimes, LMHC in Indianapolis, IN

Samantha Marie Grimes, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Indianapolis, Indiana. Her current practice location is 720 Eskenazi Ave, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 880-8484.

Samantha Marie Grimes is licensed to practice in Indiana (license number 39003215A) 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 1154822161.

Contact Information

	Samantha Marie Grimes, LMHC
	720 Eskenazi Ave, Indianapolis, IN 46202-5187
	(317) 880-8484
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Marie Grimes
Gender	Female
Speciality	Counselor - Mental Health
Location	720 Eskenazi Ave, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154822161
Provider Enumeration Date: 02/25/2018
Last Update Date: 11/23/2021

Medicare PECOS Information:

PECOS PAC ID: 1951759299
Enrollment ID: I20231128001768

Medical Identifiers

Medical identifiers for Samantha Marie Grimes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154822161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39003215A (Indiana)	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. Samantha Marie Grimes allows following entities to bill medicare on her behalf.

Entity Name	Community Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336119478 PECOS PAC ID: 1850203977 Enrollment ID: O20031105000554

Entity Name	Community Physicians Of Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

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. Samantha Marie Grimes 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
Samantha Marie Grimes, LMHC 4901 Carrollton Ave, Indianapolis, IN 46205-1125 Ph: (765) 714-9179	Samantha Marie Grimes, LMHC 720 Eskenazi Ave, Indianapolis, IN 46202-5187 Ph: (317) 880-8484

Reviews and Comments

Counselor in Indianapolis, IN

Miss Tangela Cameron, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2626 E 46th St, Indianapolis, IN 46205 Phone: 317-475-9066 Fax: 317-257-3602
Elizabeth J Malcom, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 Fax: 317-338-4890
Molly Tompkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2626 E 46th St, Ste J, Indianapolis, IN 46205 Phone: 317-475-9066
Marlene J Villecco, MS, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5638 Professional Cir, Indianapolis, IN 46241 Phone: 888-714-1927 Fax: 317-247-8935
Camishe R Nunley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5502 East 16th Street, Suite A 31, Indianapolis, IN 46218 Phone: 317-355-1800
Mrs. Unchana Thamasak, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3905 Vincennes Rd, Suite 303, Indianapolis, IN 46268 Phone: 317-471-3522 Fax: 317-471-3508
Mark P Radel, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208

Samantha Marie Grimes, LMHC - Medicare Counselor in Indianapolis, IN