Mrs Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A - Medicare Counselor in Tobaccoville, NC

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Mrs Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A is a medicare enrolled "Counselor - Professional" provider in Tobaccoville, North Carolina. Her current practice location is 150 Norwood Forest Ln, Tobaccoville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (866) 700-1606.

Mrs Jenifer Knight Shadrick is licensed to practice in North Carolina (license number 12241) 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 1780030270.

Contact Information

Mrs Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A
150 Norwood Forest Ln,
Tobaccoville, NC 27050-9498
(866) 700-1606
(866) 338-5921

Map and Direction


Healthcare Provider's Profile

Full NameMrs Jenifer Knight Shadrick
GenderFemale
SpecialityCounselor - Professional
Location150 Norwood Forest Ln, Tobaccoville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780030270
  • Provider Enumeration Date: 05/13/2016
  • Last Update Date: 08/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0840649596
  • Enrollment ID: I20231207000658

Medical Identifiers

Medical identifiers for Mrs Jenifer Knight Shadrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780030270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LCAS-22760 (North Carolina)Secondary
101YP2500XCounselor - Professional 12241 (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. Mrs Jenifer Knight Shadrick allows following entities to bill medicare on her behalf.
Entity NameThriveworks Clinical - North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003303082
PECOS PAC ID: 8527471200
Enrollment ID: O20210120000669

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. Mrs Jenifer Knight Shadrick 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 AddressPractice Location Address
Mrs Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A
150 Norwood Forest Ln,
Tobaccoville, NC 27050-9498

Ph: (866) 700-1606		Mrs Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A
150 Norwood Forest Ln,
Tobaccoville, NC 27050-9498

Ph: (866) 700-1606

Reviews and Comments


Counselor in Tobaccoville, NC

Ms. Pattie Burns Amundsen, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6315 Tobaccoville Rd., Tobaccoville, NC 27050
Phone: 336-924-8818    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.