Brenda Daugherty-shrivastava, in Clarion, PA - Medicare Counselor Provider

Brenda Daugherty-shrivastava, is a medicare enrolled "Counselor - Professional" provider in Clarion, Pennsylvania. Her current practice location is 30 Pinnacle Dr, Clarion, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 223-9914.

Brenda Daugherty-shrivastava is licensed to practice in Pennsylvania (license number PC000561) 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 1104156157.

Contact Information

	Brenda Daugherty-shrivastava,
	30 Pinnacle Dr, Clarion, PA 16214-3800
	(814) 223-9914
	(814) 223-9917

Map and Direction

Healthcare Provider's Profile

Full Name	Brenda Daugherty-shrivastava
Gender	Female
Speciality	Counselor - Professional
Location	30 Pinnacle Dr, Clarion, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104156157
Provider Enumeration Date: 01/13/2010
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 9436500154
Enrollment ID: I20240108000741

Medical Identifiers

Medical identifiers for Brenda Daugherty-shrivastava such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104156157	NPI	-	NPPES
PC000561	Other	PA	LICENSED PROFESSIONAL COUNSELOR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	PC000561 (Pennsylvania)	Secondary
101YP2500X	Counselor - Professional	PC000561 (Pennsylvania)	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. Brenda Daugherty-shrivastava allows following entities to bill medicare on her behalf.

Entity Name	Primary Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553

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. Brenda Daugherty-shrivastava 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
Brenda Daugherty-shrivastava, 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (814) 223-9914	Brenda Daugherty-shrivastava, 30 Pinnacle Dr, Clarion, PA 16214-3800 Ph: (814) 223-9914

Reviews and Comments

Counselor in Clarion, PA

Matthew Kevin Sitosky, M.ED., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Wood St, Clarion, PA 16214 Phone: 814-226-4171
Carrie Lynn Acklin, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S 7th Ave, Clarion, PA 16214 Phone: 814-226-5888
Sara Elizabeth Conner, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S 7th Ave, Clarion, PA 16214 Phone: 814-226-5888
Mr. Michael A Trillizio, MA, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 240 Liberty St, Clarion, PA 16214 Phone: 814-673-9975
Mrs. Alexandra Beers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 342 S 5th Ave, Clarion, PA 16214 Phone: 814-226-4913
Amy Lynn Whitney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 342 S 5th Ave, Clarion, PA 16214 Phone: 814-226-4913 Fax: 814-226-4914
Jenna Fair, RECOVERY COACH Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Railroad St, Clarion, PA 16214 Phone: 814-319-6268

Brenda Daugherty-shrivastava, - Medicare Counselor in Clarion, PA