Shaunda Marie Albert, LAC, MAC, LCSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Polson, Montana. Her current practice location is
302 1st St W Ste 203, Polson, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 270-3447.
Shaunda Marie Albert is licensed to practice in Montana (license number BBH-LAC-LIC-1275) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912407198.
Healthcare Provider's Profile
| Full Name | Shaunda Marie Albert |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 302 1st St W Ste 203, Polson, Montana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1912407198
- Provider Enumeration Date: 02/14/2018
- Last Update Date: 09/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385035344
- Enrollment ID: I20220208000201
Medical Identifiers
Medical identifiers for Shaunda Marie Albert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912407198 | NPI | - | NPPES |
| BBH-LAC-LIC-1275 | Other | MT | LAC LICENSE |
| 1023525771 | Medicaid | MT | |
| 13803682 | Other | | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 50202 (Montana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BBH-LAC-LIC-1275 (Montana) | 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. Shaunda Marie Albert allows following entities to bill medicare on her behalf.
| Entity Name | Willow Canyon Counseling Services |
|---|
| Entity Type | Part B Supplier - Other |
|---|
| Entity Identifiers | NPI Number: 1023525771
PECOS PAC ID: 3476944430
Enrollment ID: O20211229001969 |
|---|
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. Shaunda Marie Albert 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 |
|---|
Shaunda Marie Albert, LAC, MAC, LCSW
42522 Canal Rd,
Ronan, MT 59864-9002
Ph: (406) 270-3447 | Shaunda Marie Albert, LAC, MAC, LCSW
302 1st St W Ste 203,
Polson, MT 59860-2602
Ph: (406) 270-3447 |
Reviews and Comments