Shadoe Underwood, MS, LPC, NCC in La Junta, CO

Shadoe Underwood, MS, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in La Junta, Colorado. Her current practice location is 711 Barnes Ave, La Junta, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 384-5446.

Shadoe Underwood is licensed to practice in Colorado (license number LPC.0017630) 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 1720469166.

Contact Information

	Shadoe Underwood, MS, LPC, NCC
	711 Barnes Ave, La Junta, CO 81050-2138
	(719) 384-5446
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shadoe Underwood
Gender	Female
Speciality	Counselor - Professional
Location	711 Barnes Ave, La Junta, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720469166
Provider Enumeration Date: 06/11/2015
Last Update Date: 11/15/2022

Medicare PECOS Information:

PECOS PAC ID: 1153770763
Enrollment ID: I20231207003508

Medical Identifiers

Medical identifiers for Shadoe Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720469166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC.0017630 (Colorado)	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. Shadoe Underwood allows following entities to bill medicare on her behalf.

Entity Name	Valley-wide Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790998953 PECOS PAC ID: 5991609067 Enrollment ID: O20031120000673

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. Shadoe Underwood 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
Shadoe Underwood, MS, LPC, NCC 711 Barnes Ave, La Junta, CO 81050-2138 Ph: (719) 384-5446	Shadoe Underwood, MS, LPC, NCC 711 Barnes Ave, La Junta, CO 81050-2138 Ph: (719) 384-5446

Reviews and Comments

Counselor in La Junta, CO

Ronald J Meyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 711 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672
Kelsie Ann Scheuerman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672
Janet L. Hawf, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 Barnes Ave, La Junta, CO 81050 Phone: 719-384-8503 Fax: 719-384-8411
Jennifer Kay Johnson, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 711 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672
Kara Marie Hurt, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672
Meryl Dohrmann, PH.D Counselor Medicare: Accepting Medicare Assignments Practice Location: 318 Lacey Ave, La Junta, CO 81050 Phone: 719-384-0303 Fax: 719-384-1033
Katherine Hawley Higgins, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 Barnes Ave, La Junta, CO 81050 Phone: 719-384-5446 Fax: 719-384-5672

Shadoe Underwood, MS, LPC, NCC - Medicare Counselor in La Junta, CO