ROBERT SCHMIDT LMSW-QIDP
NPI 1508245374
Case Manager/Care Coordinator in Wayne, MI

NPI Status: Active since May 26, 2015

Contact Information

35425 W MICHIGAN AVE
STE 1
WAYNE, MI
ZIP 48184
Phone: (734) 722-6299

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  • Individual
  • Male
  • Years of Experience 18
  • Case Manager/Care Coordinator
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ROBERT SCHMIDT

This page provides the complete NPI Profile along with additional information for Robert Schmidt, a provider established in Wayne, Michigan with a medical specialization in Case Manager/care Coordinator and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1508245374 assigned on May 2015. The practitioner's primary taxonomy code is 171M00000X with license number 6801090592 (MI). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1508245374
Provider Name
ROBERT SCHMIDT LMSW-QIDP
Gender
Male
Entity Type
Individual
Location Address
35425 W MICHIGAN AVE STE 1 WAYNE, MI 48184
Location Phone
(734) 722-6299
Mailing Address
35425 W MICHIGAN AVE STE 1 WAYNE, MI 48184
Mailing Phone
(734) 722-6299
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
Yes
Enumeration Date
05-26-2015
Last Update Date
12-05-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
License No.
6801090592
License State
MI
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Bronson Healthcare Partners - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Robert Schmidt is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Robert Schmidt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8921332024

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190624002010

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508245374, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 4 + 4 + 1 + 0 + 3 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1508245374.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Speech-Language Pathologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Speech-Language Pathologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Speech-Language Pathologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Speech-Language Pathologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Psychologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Psychologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Speech-Language Pathologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Speech-Language Pathologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Speech-Language Pathologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Physical Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Speech-Language Pathologist
35425 W MICHIGAN AVE
WAYNE, MI 48184

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508245374, enumerated as an "individual" on May 26, 2015.

The provider is located at 35425 W MICHIGAN AVE STE 1 WAYNE, MI 48184 and the phone number is (734) 722-6299.

Case Manager/Care Coordinator with taxonomy code 171M00000X.

The provider might be accepting Accepts: McLaren Health Plan Community and Priority Health. Please consult your insurance carrier or call the provider to verify.