Amy Shaw, LAC in Clinton, AR - Medicare Counselor Provider

Amy Shaw, LAC is a medicare enrolled "Counselor - Mental Health" provider in Clinton, Arkansas. Her current practice location is 2526 Highway 65 S, Clinton, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 745-8007.

Amy Shaw is licensed to practice in Arkansas (license number A2003047) 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 1265068019.

Contact Information

	Amy Shaw, LAC
	2526 Highway 65 S, Clinton, AR 72031-6657
	(501) 745-8007
	(501) 745-8220

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Shaw
Gender	Female
Speciality	Counselor - Mental Health
Location	2526 Highway 65 S, Clinton, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265068019
Provider Enumeration Date: 03/12/2020
Last Update Date: 03/12/2020

Medicare PECOS Information:

PECOS PAC ID: 1658715552
Enrollment ID: I20240220000145

Medical Identifiers

Medical identifiers for Amy Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265068019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A2003047 (Arkansas)	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. Amy Shaw allows following entities to bill medicare on her behalf.

Entity Name	Chenal Family Therapy Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356604219 PECOS PAC ID: 8325395627 Enrollment ID: O20180718000717

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. Amy Shaw 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
Amy Shaw, LAC 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020	Amy Shaw, LAC 2526 Highway 65 S, Clinton, AR 72031-6657 Ph: (501) 745-8007

Reviews and Comments

Counselor in Clinton, AR

Ms. Judy Johnston, L.P.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2526 Highway 65 S, Suite 202, Clinton, AR 72031 Phone: 501-745-4584 Fax: 501-745-5921
Robin Lanae Duran, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Yellowjacket Ln, Clinton, AR 72031 Phone: 501-365-3022
Rebecca Sangi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 244 U.s. 65, Suite 6, Clinton, AR 72031 Phone: 866-533-1765 Fax: 501-745-5925
Jimmy Norman Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 242 Shake Rag Rd, Clinton, AR 72031 Phone: 501-303-3105
Mrs. Shelly Daud, L.P.E Counselor Medicare: Not Enrolled in Medicare Practice Location: 2526 Highway 65 S, Suite 202, Clinton, AR 72031 Phone: 501-329-1329
Kimberly Westbrook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 242 Shake Rag Rd, Clinton, AR 72031 Phone: 501-303-3105

Amy Shaw, LAC - Medicare Counselor in Clinton, AR