Dr Elizabeth Ann Shutt, PHD is a medicare enrolled "Psychologist" provider in Orlando, Florida. Her current practice location is
5401 S Kirkman Rd Ste 730, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 704-7608.
Dr Elizabeth Ann Shutt is licensed to practice in Florida (license number PY10388) 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 1982125902.
Healthcare Provider's Profile
| Full Name | Dr Elizabeth Ann Shutt |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 5401 S Kirkman Rd Ste 730, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982125902
- Provider Enumeration Date: 06/29/2017
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315212602
- Enrollment ID: I20171012002556
Medical Identifiers
Medical identifiers for Dr Elizabeth Ann Shutt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982125902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PY10388 (Florida) | 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. Dr Elizabeth Ann Shutt allows following entities to bill medicare on her behalf.
| Entity Name | Orlando Neuropsychology And Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548566557
PECOS PAC ID: 6608059142
Enrollment ID: O20110322000378 |
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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. Dr Elizabeth Ann Shutt 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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Dr Elizabeth Ann Shutt, PHD
5401 S Kirkman Rd Ste 730,
Orlando, FL 32819-7911
Ph: (407) 982-8516 | Dr Elizabeth Ann Shutt, PHD
5401 S Kirkman Rd Ste 730,
Orlando, FL 32819-7911
Ph: (407) 704-7608 |
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