Chad Thomas Bousamra, MA in Traverse City, MI

Chad Thomas Bousamra, MA is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Traverse City, Michigan. His current practice location is 1105 E Eighth St, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 935-6787.

Chad Thomas Bousamra is licensed to practice in Michigan (license number 6401010758) 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 1164694030.

Contact Information

	Chad Thomas Bousamra, MA
	1105 E Eighth St, Traverse City, MI 49686-2936
	(231) 935-6787
	(231) 935-6920

Map and Direction

Healthcare Provider's Profile

Full Name	Chad Thomas Bousamra
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1105 E Eighth St, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164694030
Provider Enumeration Date: 03/31/2008
Last Update Date: 03/31/2008

Medicare PECOS Information:

PECOS PAC ID: 0446601280
Enrollment ID: I20240105003229

Medical Identifiers

Medical identifiers for Chad Thomas Bousamra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164694030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	6401010758 (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. Chad Thomas Bousamra allows following entities to bill medicare on his behalf.

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904

Entity Name	Munson Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386672665 PECOS PAC ID: 3072426287 Enrollment ID: O20040816000053

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. Chad Thomas Bousamra 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
Chad Thomas Bousamra, MA 1105 E Eighth St, Traverse City, MI 49686-2936 Ph: (231) 935-6787	Chad Thomas Bousamra, MA 1105 E Eighth St, Traverse City, MI 49686-2936 Ph: (231) 935-6787

Reviews and Comments

Counselor in Traverse City, MI

Kimberly Manrique, M.S, L.P.C., A.T.R Counselor Medicare: Not Enrolled in Medicare Practice Location: 5798 Deer Trail Dr, Traverse City, MI 49684 Phone: 231-709-3177
Joy Davies, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3032 Parterre Pl, Traverse City, MI 49684 Phone: 248-798-3229
Ms. Angela Lynn Merriman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1844 Oak Hollow Dr Ste B, Traverse City, MI 49686 Phone: 231-714-0282
Deanne R Briggs, LPC, CAC III Counselor Medicare: Medicare Enrolled Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6380 Fax: 231-935-6920
Mrs. Emily Knapp, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Lake Leelanau Dr, Traverse City, MI 49684 Phone: 231-649-2126
Terry Gorton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 E 8th St, Traverse City, MI 49684 Phone: 231-346-5221 Fax: 231-922-2095
Jeanette Fay Peltola, PLC,MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 968 Harbor Ct, Traverse City, MI 49685 Phone: 231-632-1370

Chad Thomas Bousamra, MA - Medicare Counselor in Traverse City, MI