Courtney Nicole Shields, LCADC, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mt Sterling, Kentucky. She graduated from healthcare school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice New Vista Of The Bluegrass Inc, Gateway Recovery Clinic, Pllc and her current practice location is
805 Alexa Dr Ste D, Mt Sterling, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 432-8002.
Courtney Nicole Shields is licensed to practice in Kentucky (license number 255310) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700390218.
Healthcare Provider's Profile
| Full Name | Courtney Nicole Shields |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 805 Alexa Dr Ste D, Mt Sterling, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Courtney Nicole Shields graduated from medical school in 2016
NPI Data:
- NPI Number: 1700390218
- Provider Enumeration Date: 11/20/2017
- Last Update Date: 12/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395153993
- Enrollment ID: I20210420002594
Medical Identifiers
Medical identifiers for Courtney Nicole Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700390218 | NPI | - | NPPES |
| 1790731081 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 246586 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 255310 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| New Vista Of The Bluegrass Inc | 6608773619 | 42 |
| Gateway Recovery Clinic, Pllc | 9830423326 | 3 |
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. Courtney Nicole Shields allows following entities to bill medicare on her behalf.
| Entity Name | New Vista Of The Bluegrass Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790731081
PECOS PAC ID: 6608773619
Enrollment ID: O20031217000869 |
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| Entity Name | Gateway Recovery Clinic, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003377011
PECOS PAC ID: 9830423326
Enrollment ID: O20190703001741 |
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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. Courtney Nicole Shields 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 |
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Courtney Nicole Shields, LCADC, LCSW
805 Alexa Dr Ste D,
Mt Sterling, KY 40353-1000
Ph: (859) 432-8002 | Courtney Nicole Shields, LCADC, LCSW
805 Alexa Dr Ste D,
Mt Sterling, KY 40353-1000
Ph: (859) 432-8002 |
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