Grace Shade, LPCC in Bowling Green, OH - Medicare Counselor Provider

Grace Shade, LPCC is a medicare enrolled "Counselor" provider in Bowling Green, Ohio. Her current practice location is 1234 Ridgewood Dr Ste C, Bowling Green, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 408-5533.

Grace Shade is licensed to practice in Ohio (license number E.1901560) 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 1407369978.

Contact Information

	Grace Shade, LPCC
	1234 Ridgewood Dr Ste C, Bowling Green, OH 43402-2695
	(419) 408-5533
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Grace Shade
Gender	Female
Speciality	Counselor
Location	1234 Ridgewood Dr Ste C, Bowling Green, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407369978
Provider Enumeration Date: 11/07/2017
Last Update Date: 07/17/2023

Medicare PECOS Information:

PECOS PAC ID: 5193267599
Enrollment ID: I20240612002708

Medical Identifiers

Medical identifiers for Grace Shade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407369978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	C.1700642 (Ohio)	Secondary
101Y00000X	Counselor	E.1901560 (Ohio)	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. Grace Shade allows following entities to bill medicare on her behalf.

Entity Name	Ohioguidestone
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609123728 PECOS PAC ID: 5597910935 Enrollment ID: O20130308000507

Entity Name	Presence Of Mind Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174253108 PECOS PAC ID: 4688116288 Enrollment ID: O20240611002563

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. Grace Shade 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
Grace Shade, LPCC 1234 Ridgewood Dr Ste C, Bowling Green, OH 43402-2695 Ph: (419) 408-5533	Grace Shade, LPCC 1234 Ridgewood Dr Ste C, Bowling Green, OH 43402-2695 Ph: (419) 408-5533

Reviews and Comments

Counselor in Bowling Green, OH

Julie Marie Knapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 219 South Church Street, Bowling Green, OH 43402 Phone: 419-841-7701
Jeffrey Bischoff, Counselor Medicare: Medicare Enrolled Practice Location: 1010 N Prospect St, Bowling Green, OH 43402 Phone: 419-352-5387 Fax: 419-352-9605
Trevor A Wright, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 E Poe Rd Ste 202, Bowling Green, OH 43402 Phone: 419-720-5800 Fax: 419-720-4444
Kelli Dawn Burns, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1045 Klotz Rd, Bowling Green, OH 43402 Phone: 419-352-7588 Fax: 419-354-4977
Bailey Lynn Burk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1045 Klotz Rd, Bowling Green, OH 43402 Phone: 419-352-7588
Hannah Katherine Rowe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1059 Village Dr, Bowling Green, OH 43402 Phone: 419-603-1029
Abigail Leigh Yates, MA LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1010 N Prospect St, Bowling Green, OH 43402 Phone: 419-352-5837

Grace Shade, LPCC - Medicare Counselor in Bowling Green, OH