Ms Shakirah Jowharah Shabazz, MS,CRC,LPC is a medicare enrolled "Contractor" provider in Winston Salem, North Carolina. Her current practice location is
644 Stoney Glen Cir, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 762-2535.
Ms Shakirah Jowharah Shabazz is licensed to practice in * (Not Available) (license number ) 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 1316239353.
Healthcare Provider's Profile
| Full Name | Ms Shakirah Jowharah Shabazz |
|---|
| Gender | Female |
|---|
| Speciality | Contractor |
|---|
| Location | 644 Stoney Glen Cir, Winston Salem, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316239353
- Provider Enumeration Date: 05/10/2011
- Last Update Date: 12/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032652532
- Enrollment ID: I20240625000134
Medical Identifiers
Medical identifiers for Ms Shakirah Jowharah Shabazz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316239353 | NPI | - | NPPES |
| 7901 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 7901 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 7901 (North Carolina) | Secondary |
| 101Y00000X | Counselor | 7901 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7901 (North Carolina) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | Primary |
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 Shakirah Jowharah Shabazz 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 Shakirah Jowharah Shabazz, MS,CRC,LPC
644 Stoney Glen Cir,
Winston Salem, NC 27107-6246
Ph: (336) 762-2535 | Ms Shakirah Jowharah Shabazz, MS,CRC,LPC
644 Stoney Glen Cir,
Winston Salem, NC 27107-6246
Ph: (336) 762-2535 |
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