Dr Shana Midgette, LCAS, LCMHC, LPA is a
Psychologist based in Jacksonville, North Carolina. Dr Shana Midgette is licensed to practice in North Carolina (license number 6694) and her current practice location is
2424 Commerce Rd, Jacksonville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 557-0444.
NPI number for Dr Shana Midgette is 1659644383 and her current mailing address is 2424 Commerce Rd, Jacksonville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659644383.
Healthcare Provider's Profile
| Full Name | Dr Shana Midgette |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 2424 Commerce Rd, Jacksonville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659644383
- Provider Enumeration Date: 02/10/2012
- Last Update Date: 12/07/2024
Medical Identifiers
Medical identifiers for Dr Shana Midgette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659644383 | NPI | - | NPPES |
| 6112264 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1853 (North Carolina) | Secondary |
| 103T00000X | Psychologist | 6694 (North Carolina) | Primary |
| 101Y00000X | Counselor | 1853 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1853 (North Carolina) | Secondary |
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. Dr Shana Midgette is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Shana Midgette, LCAS, LCMHC, LPA
2424 Commerce Rd,
Jacksonville, NC 28546-7505
Ph: (252) 557-0444 | Dr Shana Midgette, LCAS, LCMHC, LPA
2424 Commerce Rd,
Jacksonville, NC 28546-7505
Ph: (252) 557-0444 |
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