Sierra Short Groenewold, LPC in Redmond, OR - Medicare Counselor Provider

Sierra Short Groenewold, LPC is a medicare enrolled "Counselor - Mental Health" provider in Redmond, Oregon. Her current practice location is 111 Nw Larch Ave, Redmond, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 923-4462.

Sierra Short Groenewold is licensed to practice in Oregon (license number C3377) 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 1962711150.

Contact Information

	Sierra Short Groenewold, LPC
	111 Nw Larch Ave, Redmond, OR 97756-1322
	(541) 923-4462
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sierra Short Groenewold
Gender	Female
Speciality	Counselor - Mental Health
Location	111 Nw Larch Ave, Redmond, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962711150
Provider Enumeration Date: 10/05/2010
Last Update Date: 04/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3476904020
Enrollment ID: I20240108004209

Medical Identifiers

Medical identifiers for Sierra Short Groenewold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962711150	NPI	-	NPPES
500668371	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C3377 (Oregon)	Primary
101YP2500X	Counselor - Professional	C3377 (Oregon)	Secondary

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. Sierra Short Groenewold allows following entities to bill medicare on her behalf.

Entity Name	Mosaic Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371

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. Sierra Short Groenewold 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
Sierra Short Groenewold, LPC 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 Ph: (541) 447-0707	Sierra Short Groenewold, LPC 111 Nw Larch Ave, Redmond, OR 97756-1322 Ph: (541) 923-4462

Reviews and Comments

Counselor in Redmond, OR

Marissa Inman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 406 W Antler Ave, Redmond, OR 97756 Phone: 541-322-7500
Natalie Schwartzbauer, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Sw Forest Ave Ste 102, Redmond, OR 97756 Phone: 541-324-0873 Fax: 541-625-2825
Emily Culbertson, CADC II, QMHA II Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Nw 5th St, Box 1710, Redmond, OR 97756 Phone: 540-516-4087 Fax: 541-504-1195
Lacey Satterfield, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 1470 Nw 4th St, Redmond, OR 97756 Phone: 541-316-7520
James O'farrell, M.S., QMHP, LPC Counselor Medicare: Medicare Enrolled Practice Location: 406 W Antler Ave, Redmond, OR 97756 Phone: 541-322-7187 Fax: 541-322-7467
Ashley Covarrubias, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Sw 7th St, Redmond, OR 97756 Phone: 541-388-8459
Rachael Marble Leary, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2424 Sw Pumice Ave, Redmond, OR 97756 Phone: 541-668-6141 Fax: 541-236-0332

Sierra Short Groenewold, LPC - Medicare Counselor in Redmond, OR