Michael M Shaw, PHD, LMHC in Jacksonville, FL

Michael M Shaw, PHD, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Jacksonville, Florida. His current practice location is 2156 Sequoia Ct, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 868-0534.

Michael M Shaw is licensed to practice in Florida (license number MH8792) 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 1659416626.

Contact Information

	Michael M Shaw, PHD, LMHC
	2156 Sequoia Ct, Jacksonville, FL 32218-0633
	(904) 868-0534
	(904) 868-0534

Map and Direction

Healthcare Provider's Profile

Full Name	Michael M Shaw
Gender	Male
Speciality	Counselor - Mental Health
Location	2156 Sequoia Ct, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659416626
Provider Enumeration Date: 02/20/2007
Last Update Date: 09/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2961934815
Enrollment ID: I20241016002143

Medical Identifiers

Medical identifiers for Michael M Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659416626	NPI	-	NPPES
767840100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH8792 (Florida)	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. Michael M Shaw allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608

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. Michael M 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
Michael M Shaw, PHD, LMHC 2156 Sequoia Ct, Jacksonville, FL 32218-0633 Ph: (904) 868-0534	Michael M Shaw, PHD, LMHC 2156 Sequoia Ct, Jacksonville, FL 32218-0633 Ph: (904) 868-0534

Reviews and Comments

Counselor in Jacksonville, FL

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Stanvonna Shootes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664
Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594
Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017

Michael M Shaw, PHD, LMHC - Medicare Counselor in Jacksonville, FL