Michael Todd Shook, is a medicare enrolled "Social Worker - Clinical" in Ann Arbor, Michigan. He graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice The Counseling Center, Pc and his current practice location is
625 E. Liberty St, Ste.205, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 352-9315.
Michael Todd Shook is licensed to practice in Michigan (license number 6801092445) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912290875.
Provider's Profile
| Full Name | Michael Todd Shook |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 16 Years |
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| Location | 625 E. Liberty St, Ann Arbor, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Todd Shook graduated from nursing school in 2010
NPI Data:
- NPI Number: 1912290875
- Provider Enumeration Date: 05/25/2011
- Last Update Date: 10/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618126962
- Enrollment ID: I20121002000744
Medical Identifiers
Medical identifiers for Michael Todd Shook such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912290875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 4704223546 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801092445 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Counseling Center, Pc | 3173684081 | 3 |
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. Michael Todd Shook allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Medical Group Promed |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497709869
PECOS PAC ID: 7315856077
Enrollment ID: O20031216000478 |
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| Entity Name | Ascension Borgess Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568416311
PECOS PAC ID: 5294645750
Enrollment ID: O20040209000029 |
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| Entity Name | The Counseling Center, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245499011
PECOS PAC ID: 3173684081
Enrollment ID: O20081211000060 |
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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. Michael Todd Shook 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 |
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Michael Todd Shook,
200 Turwill Ln,
Kalamazoo, MI 49006-4277
Ph: (269) 344-4413 | Michael Todd Shook,
625 E. Liberty St, Ste.205,
Ann Arbor, MI 48104
Ph: (269) 352-9315 |
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