Mrs Shasta Lane Gross, MA, LPC in Grand Rapids, MI

Mrs Shasta Lane Gross, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. Her current practice location is 2305 E Paris Ave Se Ste 203, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 816-1758.

Mrs Shasta Lane Gross is licensed to practice in Michigan (license number 6401018315) 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 1184143539.

Contact Information

	Mrs Shasta Lane Gross, MA, LPC
	2305 E Paris Ave Se Ste 203, Grand Rapids, MI 49546-2426
	(616) 816-1758
	(616) 333-7685

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shasta Lane Gross
Gender	Female
Speciality	Counselor - Professional
Location	2305 E Paris Ave Se Ste 203, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184143539
Provider Enumeration Date: 09/18/2017
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 6305295940
Enrollment ID: I20231208000266

Medical Identifiers

Medical identifiers for Mrs Shasta Lane Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184143539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401018315 (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. Mrs Shasta Lane Gross allows following entities to bill medicare on her behalf.

Entity Name	Stange Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205564531 PECOS PAC ID: 1557730603 Enrollment ID: O20221212001673

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. Mrs Shasta Lane Gross 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
Mrs Shasta Lane Gross, MA, LPC 2305 E Paris Ave Se Ste 203, Grand Rapids, MI 49546-2426 Ph: (616) 816-1758	Mrs Shasta Lane Gross, MA, LPC 2305 E Paris Ave Se Ste 203, Grand Rapids, MI 49546-2426 Ph: (616) 816-1758

Reviews and Comments

Counselor in Grand Rapids, MI

Mrs. Dana Kay Anderson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-254-7741 Fax: 616-254-7750
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Lauren Marie Snoeyink, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1295 68th St Se, Grand Rapids, MI 49508 Phone: 616-970-3724
Megan Elinor Johnson, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 790 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 616-336-3909 Fax: 616-336-8830
Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284

Mrs Shasta Lane Gross, MA, LPC - Medicare Counselor in Grand Rapids, MI