Ms Shacolby J Dedmond, MED, LPC in Katy, TX - Medicare Counselor Provider

Ms Shacolby J Dedmond, MED, LPC is a medicare enrolled "Counselor - Mental Health" provider in Katy, Texas. Her current practice location is 24275 Katy Fwy Ste 410, Katy, Texas. You can reach out to her office (for appointments etc.) via phone at (855) 501-1004.

Ms Shacolby J Dedmond is licensed to practice in Texas (license number 82698) 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 1992460356.

Contact Information

	Ms Shacolby J Dedmond, MED, LPC
	24275 Katy Fwy Ste 410, Katy, TX 77494-7267
	(855) 501-1004
	(844) 708-1274

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Shacolby J Dedmond
Gender	Female
Speciality	Counselor - Mental Health
Location	24275 Katy Fwy Ste 410, Katy, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992460356
Provider Enumeration Date: 11/01/2021
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 8325482730
Enrollment ID: I20240213004363

Medical Identifiers

Medical identifiers for Ms Shacolby J Dedmond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992460356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	82698 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	82698 (Texas)	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. Ms Shacolby J Dedmond allows following entities to bill medicare on her behalf.

Entity Name	Bellaire Ellie Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487372132 PECOS PAC ID: 4981065596 Enrollment ID: O20230731000122

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. Ms Shacolby J Dedmond 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
Ms Shacolby J Dedmond, MED, LPC 3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954 Ph: (916) 576-7900	Ms Shacolby J Dedmond, MED, LPC 24275 Katy Fwy Ste 410, Katy, TX 77494-7267 Ph: (855) 501-1004

Reviews and Comments

Counselor in Katy, TX

Mrs. Melissa Diane Barton, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5608 5th St, # B-2, Katy, TX 77493 Phone: 832-372-5900
Dianna Mae Kinkead, MA, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 20915 Kingsland Blvd, Katy, TX 77450 Phone: 281-579-0703 Fax: 281-398-9719
David John Dotson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 B Park Grove Drive, Katy, TX 77450 Phone: 281-277-8827
Mr. Timothy Richmond Spears, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1826 Snake River Rd Ste D, Katy, TX 77449 Phone: 281-394-1379 Fax: 281-712-2517
Sonia L Fields-de Pass, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 472 Park Grove Dr, Katy, TX 77450 Phone: 713-489-5473
Nichelsea Gardner, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1732 Katyland Dr, Katy, TX 77493 Phone: 281-237-6384
Jessica Peralta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 472 Park Grove Dr, Katy, TX 77450 Phone: 713-489-5473

Ms Shacolby J Dedmond, MED, LPC - Medicare Counselor in Katy, TX