Samuel Lewis Brode, LPC - Medicare Counselor in Paw Paw, MI

Samuel Lewis Brode, LPC is a medicare enrolled "Counselor - Mental Health" provider in Paw Paw, Michigan. His current practice location is 801 Hazen St Ste C, Paw Paw, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 657-5574.

Samuel Lewis Brode is licensed to practice in Michigan (license number 6401019495) 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 1780351122.

Contact Information

Samuel Lewis Brode, LPC
801 Hazen St Ste C,
Paw Paw, MI 49079-2008
(269) 657-5574
(269) 657-6523

Map and Direction


Healthcare Provider's Profile

Full NameSamuel Lewis Brode
GenderMale
SpecialityCounselor - Mental Health
Location801 Hazen St Ste C, Paw Paw, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780351122
  • Provider Enumeration Date: 08/24/2021
  • Last Update Date: 08/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5890139521
  • Enrollment ID: I20240221000655

Medical Identifiers

Medical identifiers for Samuel Lewis Brode such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780351122NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 6401019495 (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. Samuel Lewis Brode allows following entities to bill medicare on his behalf.
Entity NameVan Buren Community Mental Health Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003878554
PECOS PAC ID: 6800863788
Enrollment ID: O20040910000867

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. Samuel Lewis Brode 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 AddressPractice Location Address
Samuel Lewis Brode, LPC
Po Box 249,
Paw Paw, MI 49079-0249

Ph: (269) 657-5574
Samuel Lewis Brode, LPC
801 Hazen St Ste C,
Paw Paw, MI 49079-2008

Ph: (269) 657-5574

Reviews and Comments


Counselor in Paw Paw, MI

Nicole Alayna Douglass, MA, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 816 E Michigan Ave Ste 103, Paw Paw, MI 49079
Phone: 269-815-8169    
Andrina Jordan, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 801 Hazen St, Paw Paw, MI 49079
Phone: 269-655-3334    Fax: 269-657-6523
Rachel Rose Robertson, MA, LLPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 801 Hazen St Ste C, Paw Paw, MI 49079
Phone: 269-657-5574    
Jason Vanlester, M.A,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 232 E Michigan Ave, Paw Paw, MI 49079
Phone: 269-870-6919    
Aaron Bronsink, LLPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 181 W Michigan Ave, Suite 2, Paw Paw, MI 49079
Phone: 269-858-8230    
Timothy Adli Kanaan, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 816 E Michigan Ave Ste 103, Paw Paw, MI 49079
Phone: 269-501-5829    
Jessica Stephenson-parise,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 801 Hazen St, Suite C, Paw Paw, MI 49079
Phone: 269-655-3334    Fax: 269-657-6523

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.