Justin Sides, PSYD - Medicare Psychologist in West Olive, MI

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Justin Sides, PSYD is a medicare enrolled "Psychologist" provider in West Olive, Michigan. His current practice location is 9272 Shoreway Dr, West Olive, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 886-9001.

Justin Sides is licensed to practice in Michigan (license number 6301017242) 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 1104276690.

Contact Information

Justin Sides, PSYD
9272 Shoreway Dr,
West Olive, MI 49460-8866
(616) 886-9001
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJustin Sides
GenderMale
SpecialityPsychologist
Location9272 Shoreway Dr, West Olive, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104276690
  • Provider Enumeration Date: 06/15/2016
  • Last Update Date: 03/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688927569
  • Enrollment ID: I20181023000503

Medical Identifiers

Medical identifiers for Justin Sides such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104276690NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 6301017242 (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. Justin Sides allows following entities to bill medicare on his behalf.
Entity NameHope & Wholeness Psychology Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841726809
PECOS PAC ID: 6901175082
Enrollment ID: O20170705001775

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. Justin Sides 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
Justin Sides, PSYD
9272 Shoreway Dr,
West Olive, MI 49460-8866

Ph: (616) 886-9001		Justin Sides, PSYD
9272 Shoreway Dr,
West Olive, MI 49460-8866

Ph: (616) 886-9001

Reviews and Comments


Psychologist in West Olive, MI

Barbara J Cannizzo,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 17131 Legacy Dr, West Olive, MI 49460
Phone: 248-687-6366    

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.