Samuel Lewis Brode, LPC in Paw Paw, MI - Medicare Counselor Provider

Samuel Lewis Brode, LPC is a medicare enrolled "Counselor - Mental Health" provider in Paw Paw, Michigan. His current practice location is 801 Hazen St Ste C, Paw Paw, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 657-5574.

Samuel Lewis Brode is licensed to practice in Michigan (license number 6401019495) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780351122.

Contact Information

	Samuel Lewis Brode, LPC
	801 Hazen St Ste C, Paw Paw, MI 49079-2008
	(269) 657-5574
	(269) 657-6523

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Lewis Brode
Gender	Male
Speciality	Counselor - Mental Health
Location	801 Hazen St Ste C, Paw Paw, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780351122
Provider Enumeration Date: 08/24/2021
Last Update Date: 08/24/2021

Medicare PECOS Information:

PECOS PAC ID: 5890139521
Enrollment ID: I20240221000655

Medical Identifiers

Medical identifiers for Samuel Lewis Brode such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780351122	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401019495 (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. Samuel Lewis Brode allows following entities to bill medicare on his behalf.

Entity Name	Van Buren Community Mental Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003878554 PECOS PAC ID: 6800863788 Enrollment ID: O20040910000867

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. Samuel Lewis Brode 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
Samuel Lewis Brode, LPC Po Box 249, Paw Paw, MI 49079-0249 Ph: (269) 657-5574	Samuel Lewis Brode, LPC 801 Hazen St Ste C, Paw Paw, MI 49079-2008 Ph: (269) 657-5574

Reviews and Comments

Counselor in Paw Paw, MI

Nicole Alayna Douglass, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 Phone: 269-815-8169
Andrina Jordan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St, Paw Paw, MI 49079 Phone: 269-655-3334 Fax: 269-657-6523
Rachel Rose Robertson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St Ste C, Paw Paw, MI 49079 Phone: 269-657-5574
Jason Vanlester, M.A, Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 E Michigan Ave, Paw Paw, MI 49079 Phone: 269-870-6919
Aaron Bronsink, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 W Michigan Ave, Suite 2, Paw Paw, MI 49079 Phone: 269-858-8230
Timothy Adli Kanaan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 Phone: 269-501-5829
Jessica Stephenson-parise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Hazen St, Suite C, Paw Paw, MI 49079 Phone: 269-655-3334 Fax: 269-657-6523

Samuel Lewis Brode, LPC - Medicare Counselor in Paw Paw, MI