Dr Shannon K Dunlap, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lagrange, Georgia. 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 |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1194950857
- Provider Enumeration Date: 05/26/2009
- Last Update Date: 02/03/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 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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