Mr Samuel P Gross, MALLP, LPC, CSW in Shelby Township, MI

Mr Samuel P Gross, MALLP, LPC, CSW is a medicare enrolled "Psychologist - Clinical" provider in Shelby Township, Michigan. His current practice location is 53950 Van Dyke Ave, Suite 210b, Shelby Township, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 781-8400.

Mr Samuel P Gross is licensed to practice in Michigan (license number 6801057702) 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 1114085107.

Contact Information

	Mr Samuel P Gross, MALLP, LPC, CSW
	53950 Van Dyke Ave, Suite 210b, Shelby Township, MI 48316-1819
	(586) 781-8400
	(586) 781-8300

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Samuel P Gross
Gender	Male
Speciality	Psychologist - Clinical
Location	53950 Van Dyke Ave, Shelby Township, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114085107
Provider Enumeration Date: 12/04/2006
Last Update Date: 04/04/2014

Medicare PECOS Information:

PECOS PAC ID: 6002970779
Enrollment ID: I20090123000427

Medical Identifiers

Medical identifiers for Mr Samuel P Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114085107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6801057702 (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. Mr Samuel P Gross allows following entities to bill medicare on his behalf.

Entity Name	Downriver Mental Health Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533

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. Mr Samuel P Gross 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
Mr Samuel P Gross, MALLP, LPC, CSW 16991 Dublaine, Beverly Hills, MI 48025 Ph: (248) 433-1069	Mr Samuel P Gross, MALLP, LPC, CSW 53950 Van Dyke Ave, Suite 210b, Shelby Township, MI 48316-1819 Ph: (586) 781-8400

Reviews and Comments

Psychologist in Shelby Township, MI

Christine Homer, MS LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 45445 Mound, Suite 109, Shelby Township, MI 48317 Phone: 586-254-5660 Fax: 586-254-0622
Tara Kay Shepard, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13001 23 Mile Rd Ste 103, Shelby Township, MI 48315 Phone: 586-496-4398
Mrs. Edna Chang, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 45670 White Oak Dr, Shelby Township, MI 48315 Phone: 586-566-8456
Mr. Leo M Szalma, LLP PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 53950 Van Dyke Ave, Shelby Township, MI 48316 Phone: 586-781-8400 Fax: 586-781-8300
Deborah A Bastedo, LLP, LPC, NCC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 52188 Van Dyke Ave, Ste 300, Shelby Township, MI 48316 Phone: 586-803-1583 Fax: 248-682-7486
Dr. Gary Joseph Fusciardi, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8061 21 Mile Rd, Suite #4, Shelby Township, MI 48317 Phone: 586-323-0696 Fax: 586-731-8393

Mr Samuel P Gross, MALLP, LPC, CSW - Medicare Psychologist in Shelby Township, MI