Dr Shauna Moore Reynolds, EDD, NCC,LPC, LCPC is a medicare enrolled "Counselor - Professional" provider in Calverton, Maryland. Her current practice location is
11785 Beltsville Dr Ste 120, Calverton, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 389-1487.
Dr Shauna Moore Reynolds is licensed to practice in Maryland (license number LC4866) 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 1477809119.
Healthcare Provider's Profile
Full Name | Dr Shauna Moore Reynolds |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 11785 Beltsville Dr Ste 120, Calverton, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477809119
- Provider Enumeration Date: 07/31/2012
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042753519
- Enrollment ID: I20240625002503
Medical Identifiers
Medical identifiers for Dr Shauna Moore Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477809119 | NPI | - | NPPES |
0647632P0000 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | PCR14291 (District Of Columbia) | Secondary |
101YP2500X | Counselor - Professional | PRC14291 (District Of Columbia) | Secondary |
101Y00000X | Counselor | PCR14291 (District Of Columbia) | Secondary |
101Y00000X | Counselor | LC4866 (Maryland) | Secondary |
101YM0800X | Counselor - Mental Health | LC4866 (Maryland) | Secondary |
106H00000X | Marriage & Family Therapist | LC4866 (Maryland) | Secondary |
106H00000X | Marriage & Family Therapist | PCR14291 (District Of Columbia) | Secondary |
101YP2500X | Counselor - Professional | LC4866 (Maryland) | 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 Shauna Moore Reynolds allows following entities to bill medicare on her behalf.
Entity Name | Smr Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508205295 PECOS PAC ID: 9133662604 Enrollment ID: O20240625002321 |
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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 Shauna Moore Reynolds 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 Shauna Moore Reynolds, EDD, NCC,LPC, LCPC Po Box 275, Burtonsville, MD 20866-0275 Ph: (240) 389-1487 | Dr Shauna Moore Reynolds, EDD, NCC,LPC, LCPC 11785 Beltsville Dr Ste 120, Calverton, MD 20705-3121 Ph: (240) 389-1487 |
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