Dr Shannon K Dunlap, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lagrange, Georgia. He graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
610 Ridley Ave, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 884-5050.
Dr Shannon K Dunlap is licensed to practice in Georgia (license number PSY003497) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194950857.
Healthcare Provider's Profile
| Full Name | Dr Shannon K Dunlap |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 15 Years |
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| Location | 610 Ridley Ave, Lagrange, Georgia |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Shannon K Dunlap graduated from medical school in 2009
NPI Data:
- NPI Number: 1194950857
- Provider Enumeration Date: 05/26/2009
- Last Update Date: 02/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 1254555444
- Enrollment ID: I20140609001710
Medical Identifiers
Medical identifiers for Dr Shannon K Dunlap such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194950857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 202201 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC004718 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY003497 (Georgia) | 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 Shannon K Dunlap allows following entities to bill medicare on his behalf.
| Entity Name | Counseling Services Of Lagrange, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790197804
PECOS PAC ID: 0446474639
Enrollment ID: O20140609001622 |
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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 Shannon K Dunlap 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 |
|---|
Dr Shannon K Dunlap, PHD
610 Ridley Ave,
Lagrange, GA 30240-2236
Ph: (706) 884-5050 | Dr Shannon K Dunlap, PHD
610 Ridley Ave,
Lagrange, GA 30240-2236
Ph: (706) 884-5050 |
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