Mrs Shelley R Visconte, PHD, LPC, LMFT is a medicare enrolled "Psychologist - Counseling" provider in Shreveport, Louisiana. Her current practice location is
3341 Youree Dr Ste 20a, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 425-2000.
Mrs Shelley R Visconte is licensed to practice in Louisiana (license number 1434) 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 1235303710.
Healthcare Provider's Profile
Full Name | Mrs Shelley R Visconte |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 3341 Youree Dr Ste 20a, Shreveport, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235303710
- Provider Enumeration Date: 04/16/2008
- Last Update Date: 01/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143504746
- Enrollment ID: I20171011001120
Medical Identifiers
Medical identifiers for Mrs Shelley R Visconte such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235303710 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 3008 (Louisiana) | Secondary |
106H00000X | Marriage & Family Therapist | 885 (Louisiana) | Secondary |
103TC1900X | Psychologist - Counseling | 1434 (Louisiana) | 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 Shelley R Visconte allows following entities to bill medicare on her behalf.
Entity Name | Ronald A Goebel & Mark P Vigen Ptr |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477732188 PECOS PAC ID: 2163582925 Enrollment ID: O20081124000449 |
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Entity Name | Psychology Associates Of Nw Louisiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831739820 PECOS PAC ID: 8022421320 Enrollment ID: O20210128001549 |
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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 Shelley R Visconte 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 |
Mrs Shelley R Visconte, PHD, LPC, LMFT 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 Ph: (318) 425-2000 | Mrs Shelley R Visconte, PHD, LPC, LMFT 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 Ph: (318) 425-2000 |
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