Sharayah K Provost, LPC in Brookfield, WI - Medicare Counselor Provider

Sharayah K Provost, LPC is a medicare enrolled "Counselor - Professional" provider in Brookfield, Wisconsin. Her current practice location is 16535 W Bluemound Rd Ste 305, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (800) 438-1770.

Sharayah K Provost is licensed to practice in Wisconsin (license number 7206-125) 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 1477025823.

Contact Information

	Sharayah K Provost, LPC
	16535 W Bluemound Rd Ste 305, Brookfield, WI 53005-5936
	(800) 438-1770
	(262) 345-5562

Map and Direction

Healthcare Provider's Profile

Full Name	Sharayah K Provost
Gender	Female
Speciality	Counselor - Professional
Location	16535 W Bluemound Rd Ste 305, Brookfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477025823
Provider Enumeration Date: 12/26/2018
Last Update Date: 02/10/2020

Medicare PECOS Information:

PECOS PAC ID: 3173976230
Enrollment ID: I20240125002009

Medical Identifiers

Medical identifiers for Sharayah K Provost such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477025823	NPI	-	NPPES
100084565	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3367-226 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	7206-125 (Wisconsin)	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. Sharayah K Provost allows following entities to bill medicare on her behalf.

Entity Name	Wisconsin Lutheran Child And Family Service Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083786628 PECOS PAC ID: 0749233898 Enrollment ID: O20050301000318

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. Sharayah K Provost 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
Sharayah K Provost, LPC W175n11120 Stonewood Dr, Germantown, WI 53022-6511 Ph: (800) 438-1772	Sharayah K Provost, LPC 16535 W Bluemound Rd Ste 305, Brookfield, WI 53005-5936 Ph: (800) 438-1770

Reviews and Comments

Counselor in Brookfield, WI

Amanda L Franzen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd Ste 305, Brookfield, WI 53005 Phone: 800-438-1772 Fax: 262-345-5562
Kristen Stodola, Counselor Medicare: Medicare Enrolled Practice Location: 17100 W North Ave, Brookfield, WI 53005 Phone: 262-244-6177
Ann Elizabeth Brunner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16655 W Bluemound Rd Ste 330, Brookfield, WI 53005 Phone: 262-786-9184 Fax: 262-786-1906
Emily Kathryn Olson, ATR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12630 W North Ave Bldg E, Brookfield, WI 53005 Phone: 262-785-1008
Susan Marie Condon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18000 W Sarah Ln, Brookfield, WI 53045 Phone: 262-267-8560
Leah K Stadel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd Ste 305, Brookfield, WI 53005 Phone: 800-438-1772 Fax: 262-345-5562
Mrs. Kewonia Hogans-rhodes, MS, CRC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13105 W Bluemound Rd Ste 100, Brookfield, WI 53005 Phone: 262-754-5925

Sharayah K Provost, LPC - Medicare Counselor in Brookfield, WI