Sarah Krussell, LPC is a medicare enrolled "Counselor - Professional" provider in Holland, Michigan. Her current practice location is
926 Washington Ave, Holland, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 820-3780.
Sarah Krussell is licensed to practice in Michigan (license number 6401013793) 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 1740613926.
Healthcare Provider's Profile
| Full Name | Sarah Krussell |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 926 Washington Ave, Holland, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740613926
- Provider Enumeration Date: 08/12/2013
- Last Update Date: 12/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698126167
- Enrollment ID: I20240109002550
Medical Identifiers
Medical identifiers for Sarah Krussell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740613926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 6301015626 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6401013793 (Michigan) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401013793 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6401013793 (Michigan) | 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. Sarah Krussell allows following entities to bill medicare on her behalf.
| Entity Name | Pine Rest Christian Mental Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780695411
PECOS PAC ID: 4981506508
Enrollment ID: O20040213000149 |
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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. Sarah Krussell 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 |
|---|
Sarah Krussell, LPC
300 68th St Se,
Grand Rapids, MI 49548-6927
Ph: (616) 455-5000 | Sarah Krussell, LPC
926 Washington Ave,
Holland, MI 49423-7725
Ph: (616) 820-3780 |
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