Myranda Jo Shaw, in Burnsville, MN - Medicare Counselor Provider

Myranda Jo Shaw, is a medicare enrolled "Counselor - Mental Health" provider in Burnsville, Minnesota. Her current practice location is 1751 Southcross Dr W, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 892-7690.

Myranda Jo Shaw is licensed to practice in * (Not Available) (license number CC01890) 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 1801375423.

Contact Information

	Myranda Jo Shaw,
	1751 Southcross Dr W, Burnsville, MN 55306-7012
	(952) 892-7690
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Myranda Jo Shaw
Gender	Female
Speciality	Counselor - Mental Health
Location	1751 Southcross Dr W, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801375423
Provider Enumeration Date: 08/14/2018
Last Update Date: 08/14/2018

Medicare PECOS Information:

PECOS PAC ID: 9638513427
Enrollment ID: I20240220003787

Medical Identifiers

Medical identifiers for Myranda Jo Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801375423	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CC01890 (* (Not Available))	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. Myranda Jo Shaw allows following entities to bill medicare on her behalf.

Entity Name	Patricia Verby Psychological Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245312818 PECOS PAC ID: 2163525031 Enrollment ID: O20070314000045

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. Myranda Jo Shaw 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
Myranda Jo Shaw, 1751 Southcross Dr W, Burnsville, MN 55306-7012 Ph: (952) 892-7690	Myranda Jo Shaw, 1751 Southcross Dr W, Burnsville, MN 55306-7012 Ph: (952) 892-7690

Reviews and Comments

Counselor in Burnsville, MN

Carmen G Love, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 County Road 42 W, Burnsville, MN 55337 Phone: 612-701-5562
Elliott James Bosak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 West Travelers Trail, Burnsville Mn, 55337, 427 West Travelers Trail, Burnsville Mn, 55337, Burnsville, MN 55337 Phone: 952-247-2954
Bridgett Littel, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 14551 Judicial Rd, Burnsville, MN 55306 Phone: 952-898-5020
John Gawboy, Counselor Medicare: Medicare Enrolled Practice Location: 1751 Southcross Dr W, Burnsville, MN 55306 Phone: 952-892-7690
Molly Catherine Shields-englin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1713 Southcross Dr W, Burnsville, MN 55306 Phone: 612-242-7517
Donna Louise Martin-wallace, LPCC, LADC, ADCR-MN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 952-224-8990 Fax: 952-224-8991
Bridget Mozina, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 14591 Grand Ave Ste 206, Burnsville, MN 55306 Phone: 612-699-3300 Fax: 612-699-4400

Myranda Jo Shaw, - Medicare Counselor in Burnsville, MN