Mrs Magon Adams Shirley, PSYD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Knoxville, Tennessee. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Nlr Management Corporation and her current practice location is
2018 Western Ave, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 544-0406.
Mrs Magon Adams Shirley is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518356021.
Healthcare Provider's Profile
| Full Name | Mrs Magon Adams Shirley |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 2018 Western Ave, Knoxville, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Magon Adams Shirley graduated from medical school in 2018
NPI Data:
- NPI Number: 1518356021
- Provider Enumeration Date: 01/21/2015
- Last Update Date: 02/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 7113326794
- Enrollment ID: I20210602000966
Medical Identifiers
Medical identifiers for Mrs Magon Adams Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518356021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nlr Management Corporation | 7012374929 | 8 |
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 Magon Adams Shirley allows following entities to bill medicare on her behalf.
| Entity Name | Nlr Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790423366
PECOS PAC ID: 7012374929
Enrollment ID: O20230608001667 |
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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 Magon Adams Shirley 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 |
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Mrs Magon Adams Shirley, PSYD
6350 W Andrew Johnson Hwy,
Talbott, TN 37877-8605
Ph: (800) 355-3565 | Mrs Magon Adams Shirley, PSYD
2018 Western Ave,
Knoxville, TN 37921-5718
Ph: (865) 544-0406 |
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