Mr Ian David Shafer, MA, LPC in Holt, MI - Medicare Counselor Provider

Mr Ian David Shafer, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Holt, Michigan. His current practice location is 4025 Holt Rd Ste 205, Holt, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 881-7231.

Mr Ian David Shafer is licensed to practice in Michigan (license number 6401012915) 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 1639575038.

Contact Information

	Mr Ian David Shafer, MA, LPC
	4025 Holt Rd Ste 205, Holt, MI 48842-6019
	(517) 881-7231
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Ian David Shafer
Gender	Male
Speciality	Counselor - Professional
Location	4025 Holt Rd Ste 205, Holt, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639575038
Provider Enumeration Date: 11/12/2014
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7416393962
Enrollment ID: I20240307000639

Medical Identifiers

Medical identifiers for Mr Ian David Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639575038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	6401012915 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	6401012915 (Michigan)	Secondary
101YP2500X	Counselor - Professional	6401012915 (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. Mr Ian David Shafer allows following entities to bill medicare on his behalf.

Entity Name	Peace Of Mind Counseling Consulting And Supervision Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881197168 PECOS PAC ID: 6800239021 Enrollment ID: O20240205002932

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. Mr Ian David Shafer 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
Mr Ian David Shafer, MA, LPC 4025 Holt Rd Ste 205, Holt, MI 48842-6019 Ph: (517) 881-7231	Mr Ian David Shafer, MA, LPC 4025 Holt Rd Ste 205, Holt, MI 48842-6019 Ph: (517) 881-7231

Reviews and Comments

Counselor in Holt, MI

Jayd Gogarn, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2450 Delhi Commerce Dr Ste 4, Holt, MI 48842 Phone: 517-480-1870
Catherine Moran, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4025 Holt Rd Unit 205, Holt, MI 48842 Phone: 907-671-7009
Mr. Anthony J Solitro Ii, M.A.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2840 Shadow Wood Dr, Holt, MI 48842 Phone: 248-310-4817
Jon Freburg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3941 Marimba Rd, Holt, MI 48842 Phone: 517-930-1085
Ms. Sharon Ann Peek, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4717 Holt Road, Holt, MI 48842 Phone: 517-974-5467
Mrs. Anna M. Walton, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4672 Harper Rd, Holt, MI 48842 Phone: 800-906-0136
Erin Mae Vanbruggen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1923 Nightingale Dr, Holt, MI 48842 Phone: 614-935-4046

Mr Ian David Shafer, MA, LPC - Medicare Counselor in Holt, MI