Samuel A Beals, MA LPC is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. His current practice location is
1750 Grand Ridge Ct Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 426-9034.
Samuel A Beals is licensed to practice in Michigan (license number 6401009391) 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 1073572541.
Healthcare Provider's Profile
Full Name | Samuel A Beals |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 1750 Grand Ridge Ct Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073572541
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729975313
- Enrollment ID: I20240729003457
Medical Identifiers
Medical identifiers for Samuel A Beals such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073572541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6301006182 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401009391 (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 A Beals allows following entities to bill medicare on his behalf.
Entity Name | Second Story Counseling Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013460716 PECOS PAC ID: 6204292063 Enrollment ID: O20230520000165 |
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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 A Beals 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 A Beals, MA LPC 3424 Chicago Dr Ste 205, Hudsonville, MI 49426-1411 Ph: (616) 426-9034 | Samuel A Beals, MA LPC 1750 Grand Ridge Ct Ne, Grand Rapids, MI 49525-7043 Ph: (616) 426-9034 |
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