Sandy Imanse, LMSW in Mishawaka, IN - Medicare Counselor Provider

Sandy Imanse, LMSW is a medicare enrolled "Counselor - Mental Health" provider in Mishawaka, Indiana. Her current practice location is 1411 Lincolnway W, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 255-5669.

Sandy Imanse is licensed to practice in Indiana (license number 33002493A) 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 1023050382.

Contact Information

	Sandy Imanse, LMSW
	1411 Lincolnway W, Mishawaka, IN 46544-1626
	(574) 255-5669
	(574) 537-2652

Map and Direction

Healthcare Provider's Profile

Full Name	Sandy Imanse
Gender	Female
Speciality	Counselor - Mental Health
Location	1411 Lincolnway W, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023050382
Provider Enumeration Date: 06/12/2006
Last Update Date: 02/11/2014

Medicare PECOS Information:

PECOS PAC ID: 9830135250
Enrollment ID: I20191010002834

Medical Identifiers

Medical identifiers for Sandy Imanse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023050382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6801018351 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	33002493A (Indiana)	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. Sandy Imanse allows following entities to bill medicare on her behalf.

Entity Name	Centerstone Of Indiana, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711

Entity Name	Bowen Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853

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. Sandy Imanse 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
Sandy Imanse, LMSW Po Box 809, Goshen, IN 46527-0809 Ph: (574) 533-1234	Sandy Imanse, LMSW 1411 Lincolnway W, Mishawaka, IN 46544-1626 Ph: (574) 255-5669

Reviews and Comments

Counselor in Mishawaka, IN

Krista Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4201 Lincolnway E, Mishawaka, IN 46544 Phone: 574-807-6009
Melissa Boyll, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Seth Curtis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Lincolnway E, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882
Carolyn Logue, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Dennis A Fehr, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincolnway W, Mishawaka, IN 46544 Phone: 574-533-1234 Fax: 574-537-2652
Rozi P Wax, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Lincoln Way East, Mishawaka, IN 46544 Phone: 574-255-4976 Fax: 574-255-1882

Sandy Imanse, LMSW - Medicare Counselor in Mishawaka, IN