Amanda Renee Shackelford, in Sallisaw, OK - Medicare Counselor Provider

Amanda Renee Shackelford, is a medicare enrolled "Counselor - Mental Health" provider in Sallisaw, Oklahoma. Her current practice location is 205 S J T Stites Blvd, Sallisaw, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 775-7787.

Amanda Renee Shackelford is licensed to practice in * (Not Available) (license number ) 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 1386085728.

Contact Information

	Amanda Renee Shackelford,
	205 S J T Stites Blvd, Sallisaw, OK 74955-9323
	(918) 775-7787
	(918) 775-0328

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Renee Shackelford
Gender	Female
Speciality	Counselor - Mental Health
Location	205 S J T Stites Blvd, Sallisaw, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386085728
Provider Enumeration Date: 07/15/2013
Last Update Date: 07/15/2013

Medicare PECOS Information:

PECOS PAC ID: 0244655645
Enrollment ID: I20200803000119

Medical Identifiers

Medical identifiers for Amanda Renee Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386085728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Amanda Renee Shackelford allows following entities to bill medicare on her behalf.

Entity Name	Pt Concepts Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164931291 PECOS PAC ID: 1951669852 Enrollment ID: O20171226000989

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. Amanda Renee Shackelford 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
Amanda Renee Shackelford, 205 S J T Stites Blvd, Sallisaw, OK 74955-9323 Ph: (918) 775-7787	Amanda Renee Shackelford, 205 S J T Stites Blvd, Sallisaw, OK 74955-9323 Ph: (918) 775-7787

Reviews and Comments

Counselor in Sallisaw, OK

Kevin Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 J T Stites Blvd, Sallisaw, OK 74955 Phone: 918-775-7787
Joell Woods, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 E Choctaw Ave, Sallisaw, OK 74955 Phone: 918-790-2292
Samantha Ronae Bumguardner, YOUTH SERVICE Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 J T Stites Blvd, Sallisaw, OK 74955 Phone: 918-775-7787 Fax: 918-775-0328
Mrs. Jennifer Luanne Spears, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1630 S Kerr Blvd, Sallisaw, OK 74955 Phone: 918-790-2653 Fax: 918-790-2657
Tammy Doty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W Quesenbury Ave, Sallisaw, OK 74955 Phone: 918-775-5513 Fax: 918-775-5526
Jacqueline Taylor Richardson Padua, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1108 N Wheeler Ave, Sallisaw, OK 74955 Phone: 918-775-5513
Michelle Shafer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S Jt Stites, Sallisaw, OK 74955 Phone: 918-775-7787

Amanda Renee Shackelford, - Medicare Counselor in Sallisaw, OK