Samantha Shump, LPC in Grandville, MI - Medicare Counselor Provider

Samantha Shump, LPC is a medicare enrolled "Counselor - Professional" provider in Grandville, Michigan. Her current practice location is 4370 Chicago Dr Sw # 515, Grandville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 287-2283.

Samantha Shump is licensed to practice in Michigan (license number 6401014857) 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 1649805003.

Contact Information

	Samantha Shump, LPC
	4370 Chicago Dr Sw # 515, Grandville, MI 49418-1694
	(616) 287-2283
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Shump
Gender	Female
Speciality	Counselor - Professional
Location	4370 Chicago Dr Sw # 515, 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: 1649805003
Provider Enumeration Date: 03/06/2020
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4183083751
Enrollment ID: I20231223000139

Medical Identifiers

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

Identifier	Type	State	Issuer
1649805003	NPI	-	NPPES
6401014857	Other	MI	LPC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401014857 (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. Samantha Shump allows following entities to bill medicare on her behalf.

Entity Name	Suppression Expression Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811641855 PECOS PAC ID: 2365801933 Enrollment ID: O20230630000271

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 Shump 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 Shump, LPC 4370 Chicago Dr Sw # 515, Grandville, MI 49418-1694 Ph: (616) 287-2283	Samantha Shump, LPC 4370 Chicago Dr Sw # 515, Grandville, MI 49418-1694 Ph: (616) 287-2283

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

Samantha Shump, LPC - Medicare Counselor in Grandville, MI