Mr Fred Thomas Paul Shah, LCMHC, LCASA in Wilmington, NC

Mr Fred Thomas Paul Shah, LCMHC, LCASA is a medicare enrolled "Counselor - Professional" provider in Wilmington, North Carolina. His current practice location is 610-a S. College Road, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 796-2490.

Mr Fred Thomas Paul Shah is licensed to practice in North Carolina (license number 9687) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073857124.

Contact Information

	Mr Fred Thomas Paul Shah, LCMHC, LCASA
	610-a S. College Road, Wilmington, NC 28403-6431
	(910) 796-2490
	(910) 202-9966

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Fred Thomas Paul Shah
Gender	Male
Speciality	Counselor - Professional
Location	610-a S. College Road, Wilmington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073857124
Provider Enumeration Date: 11/15/2012
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 4789027186
Enrollment ID: I20240213000119

Medical Identifiers

Medical identifiers for Mr Fred Thomas Paul Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073857124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	21403 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	9687 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	21403 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	9687 (North Carolina)	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. Mr Fred Thomas Paul Shah allows following entities to bill medicare on his behalf.

Entity Name	Coastal Horizons Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046

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. Mr Fred Thomas Paul Shah 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
Mr Fred Thomas Paul Shah, LCMHC, LCASA 610-a S. College Road, Wilmington, NC 28403 Ph: (910) 796-2490	Mr Fred Thomas Paul Shah, LCMHC, LCASA 610-a S. College Road, Wilmington, NC 28403-6431 Ph: (910) 796-2490

Reviews and Comments

Counselor in Wilmington, NC

Mrs. Makeba Sharice Shaw, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Elisha Dr, Wilmington, NC 28405 Phone: 910-233-0355 Fax: 910-799-6263
Mrs. Holly Cunningham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3963 Market St, Suite A, Wilmington, NC 28403 Phone: 910-362-9474 Fax: 910-362-9192
Kelly Nicole French, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Walnut St Ste 101, Wilmington, NC 28401 Phone: 828-214-7870
Erin Mace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S 17th St, Wilmington, NC 28401 Phone: 910-313-3232
Kristin Hoffman, MA, LCAS, LCMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Wooster St, Wilmington, NC 28401 Phone: 910-386-7378
Kelly Kristine Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1619 Grace St, Wilmington, NC 28401 Phone: 919-896-0214
Emily Kohls, LCMHC-A, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3133 Wrightsville Ave, Wilmington, NC 28403 Phone: 910-742-0489 Fax: 910-726-3979

Mr Fred Thomas Paul Shah, LCMHC, LCASA - Medicare Counselor in Wilmington, NC