Sierra Short Groenewold, LPC in Redmond, OR - Medicare Undefined Non-physician Type (specify) Provider

Sierra Short Groenewold, LPC is a medicare enrolled "Counselor - Mental Health" provider in Redmond, Oregon. She graduated from healthcare school in 2010 and has 16 years of diverse experience with area of expertise as Undefined Non-physician Type (specify). She is a member of the group practice Mosaic Community Health and her current practice location is 111 Nw Larch Ave, Redmond, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 923-4462.

Sierra Short Groenewold is licensed to practice in Oregon (license number C3377) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962711150.

Contact Information

	Sierra Short Groenewold, LPC
	111 Nw Larch Ave, Redmond, OR 97756-1322
	(541) 923-4462
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sierra Short Groenewold
Gender	Female
Speciality	Undefined Non-physician Type (specify)
Experience	16 Years
Location	111 Nw Larch Ave, Redmond, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sierra Short Groenewold graduated from medical school in 2010

NPI Data:

NPI Number: 1962711150
Provider Enumeration Date: 10/05/2010
Last Update Date: 04/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3476904020
Enrollment ID: I20240108004209

Medical Identifiers

Medical identifiers for Sierra Short Groenewold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962711150	NPI	-	NPPES
500668371	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C3377 (Oregon)	Primary
101YP2500X	Counselor - Professional	C3377 (Oregon)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mosaic Community Health	5395653497	80

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. Sierra Short Groenewold allows following entities to bill medicare on her behalf.

Entity Name	Mosaic Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371

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. Sierra Short Groenewold 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
Sierra Short Groenewold, LPC 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 Ph: (541) 447-0707	Sierra Short Groenewold, LPC 111 Nw Larch Ave, Redmond, OR 97756-1322 Ph: (541) 923-4462

Reviews and Comments

Counselor in Redmond, OR

Marissa Inman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 406 W Antler Ave, Redmond, OR 97756 Phone: 541-322-7500
Emily Culbertson, CADC II, QMHA II Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Nw 5th St, Box 1710, Redmond, OR 97756 Phone: 540-516-4087 Fax: 541-504-1195
Krysta Ivens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6396 Sw Mcvey Ave, Redmond, OR 97756 Phone: 971-217-6150
Lacey Satterfield, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 1470 Nw 4th St, Redmond, OR 97756 Phone: 541-316-7520
James O'farrell, M.S., QMHP, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 406 W Antler Ave, Redmond, OR 97756 Phone: 541-322-7187 Fax: 541-322-7467
Seth W Burke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4555 Sw Elkhorn Ave, Redmond, OR 97756 Phone: 541-504-3600
Miss Melissa Scaramuzzo, LPC, MHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1622 W Antler Ave Unit 4, Redmond, OR 97756 Phone: 541-321-0713

Sierra Short Groenewold, LPC - Medicare Counselor in Redmond, OR