Kelly Grace Shaw, MS, LPC, NCC in Eugene, OR - Medicare Counselor Provider

Kelly Grace Shaw, MS, LPC, NCC is a medicare enrolled "Counselor" provider in Eugene, Oregon. Her current practice location is 770 E 11th Ave Fl Ssb2, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (458) 205-7085.

Kelly Grace Shaw is licensed to practice in Oregon (license number ) 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 1962068650.

Contact Information

	Kelly Grace Shaw, MS, LPC, NCC
	770 E 11th Ave Fl Ssb2, Eugene, OR 97401-3746
	(458) 205-7085
	(458) 205-7089

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Grace Shaw
Gender	Female
Speciality	Counselor
Location	770 E 11th Ave Fl Ssb2, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962068650
Provider Enumeration Date: 05/17/2019
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 3375993579
Enrollment ID: I20240101000368

Medical Identifiers

Medical identifiers for Kelly Grace Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962068650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(Oregon)	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. Kelly Grace Shaw allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097

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. Kelly Grace Shaw 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
Kelly Grace Shaw, MS, LPC, NCC Po Box 18, Vida, OR 97488-0018 Ph: (541) 771-1017	Kelly Grace Shaw, MS, LPC, NCC 770 E 11th Ave Fl Ssb2, Eugene, OR 97401-3746 Ph: (458) 205-7085

Reviews and Comments

Counselor in Eugene, OR

Donald Schaefer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 Centennial Loop Ste A, Eugene, OR 97401 Phone: 541-505-8426 Fax: 541-515-6938
Miss Rose Marie Woodfin, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 780 Hwy 99 N, Eugene, OR 97402 Phone: 541-461-2845
Maleah Lynn Obie Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437
David Zeiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 E 12th Ave, Eugene, OR 97401 Phone: 541-342-8255
Jennifer Karen Gerrard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 W 25th Ave, Eugene, OR 97405 Phone: 541-343-9706 Fax: 541-683-3748
Mr. Adam David Couch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3692 Hickory Ave, Eugene, OR 97401 Phone: 541-284-7800
Susan Elizabeth Pepper-reed, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437 Fax: 541-242-2999

Kelly Grace Shaw, MS, LPC, NCC - Medicare Counselor in Eugene, OR