Jerrica Keisha Shannon, LPCC in Lexington, KY

Jerrica Keisha Shannon, LPCC is a medicare enrolled "Counselor - Professional" provider in Lexington, Kentucky. Her current practice location is 1030 Monarch St Ste 100, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (216) 468-5000.

Jerrica Keisha Shannon is licensed to practice in Kentucky (license number 282911) 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 1588214183.

Contact Information

	Jerrica Keisha Shannon, LPCC
	1030 Monarch St Ste 100, Lexington, KY 40513-1820
	(216) 468-5000
	(216) 456-8128

Map and Direction

Healthcare Provider's Profile

Full Name	Jerrica Keisha Shannon
Gender	Female
Speciality	Counselor - Professional
Location	1030 Monarch St Ste 100, Lexington, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588214183
Provider Enumeration Date: 09/16/2019
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 3678910676
Enrollment ID: I20240326003819

Medical Identifiers

Medical identifiers for Jerrica Keisha Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588214183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	282911 (Kentucky)	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. Jerrica Keisha Shannon allows following entities to bill medicare on her behalf.

Entity Name	Psychological & Behavioral Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20160926002081

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. Jerrica Keisha Shannon 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
Jerrica Keisha Shannon, LPCC 1030 Monarch St Ste 100, Lexington, KY 40513-1820 Ph: (216) 468-5000	Jerrica Keisha Shannon, LPCC 1030 Monarch St Ste 100, Lexington, KY 40513-1820 Ph: (216) 468-5000

Reviews and Comments

Counselor in Lexington, KY

Sarah E Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686
Michael S Stratton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686
Martin Bennett Hundley, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Southland Dr # 204, Lexington, KY 40503 Phone: 859-278-3456
Tiffany Morgan Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike Bldg 1, Lexington, KY 40511 Phone: 589-253-1686
Teonna Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1351 Newtown Pike, Lexington, KY 40511 Phone: 859-253-1686
Mr. Andre Riddick Sr., LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1301 Winchester Rd Ste 147, Lexington, KY 40505 Phone: 859-991-0710 Fax: 859-309-1791
Ms. Terri J Powell, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 845 Lane Allen Rd, Suite B-5, Lexington, KY 40504 Phone: 859-373-0572 Fax: 859-373-0572

Jerrica Keisha Shannon, LPCC - Medicare Counselor in Lexington, KY