Mr Wallace Scott Shearon, LMFT in Ormond Beach, FL

Mr Wallace Scott Shearon, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Ormond Beach, Florida. His current practice location is 565 Memorial Cir, Ormond Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 310-8766.

Mr Wallace Scott Shearon is licensed to practice in Florida (license number MT1767) 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 1568422533.

Contact Information

	Mr Wallace Scott Shearon, LMFT
	565 Memorial Cir, Ormond Beach, FL 32174-5001
	(386) 310-8766
	(386) 310-8770

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Wallace Scott Shearon
Gender	Male
Speciality	Counselor - Mental Health
Location	565 Memorial Cir, Ormond Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568422533
Provider Enumeration Date: 03/24/2006
Last Update Date: 12/16/2019

Medicare PECOS Information:

PECOS PAC ID: 0648621474
Enrollment ID: I20240105002721

Medical Identifiers

Medical identifiers for Mr Wallace Scott Shearon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568422533	NPI	-	NPPES
MT1767	Other	FL	MARRIAGE AND FAMILY THERAPIST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MT1767 (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. Mr Wallace Scott Shearon allows following entities to bill medicare on his behalf.

Entity Name	Florida Counseling Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821584202 PECOS PAC ID: 0840544789 Enrollment ID: O20181113002093

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 Wallace Scott Shearon 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 Wallace Scott Shearon, LMFT 565 Memorial Cir, Ormond Beach, FL 32174-5001 Ph: (386) 310-8766	Mr Wallace Scott Shearon, LMFT 565 Memorial Cir, Ormond Beach, FL 32174-5001 Ph: (386) 310-8766

Reviews and Comments

Counselor in Ormond Beach, FL

Melanie Friend, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 N Nova Rd Ste 204, Ormond Beach, FL 32174 Phone: 386-523-8853
David Leroy Affolter, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Memorial Cir, Suite 150, Ormond Beach, FL 32174 Phone: 386-793-1346 Fax: 386-492-3640
Karen Marie Palpant, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 194 E Granada Blvd, Ormond Beach, FL 32176 Phone: 386-871-0365 Fax: 386-256-7668
Emilia Rosa Dasilva, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1450 N Us Highway 1 Ste 500, Ormond Beach, FL 32174 Phone: 386-449-8600 Fax: 386-313-6980
Dr. G. Michael Pilcher, PHD, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 W Granada Blvd Ste G3, Ormond Beach, FL 32174 Phone: 386-227-6404
Ms. Rita Marino, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1687 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-672-5571
Lana Esther Brown, L.M.H.C., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Memorial Cir, Ste. 150, Ormond Beach, FL 32174 Phone: 386-672-9250 Fax: 386-672-9251

Mr Wallace Scott Shearon, LMFT - Medicare Counselor in Ormond Beach, FL