Shana Susanne Mevissen, is a
Counselor - Mental Health based in Wilton, New York. Shana Susanne Mevissen is licensed to practice in * (Not Available) (license number ) and her current practice location is
3 Amhurst Ave # 3, Wilton, New York. She can be reached at her office (for appointments etc.) via phone at
(517) 778-5881.
NPI number for Shana Susanne Mevissen is 1245870443 and her current mailing address is 713 Troy Schenectady Rd Ste 224, Latham, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245870443.
Healthcare Provider's Profile
Full Name | Shana Susanne Mevissen |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 3 Amhurst Ave # 3, Wilton, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245870443
- Provider Enumeration Date: 01/15/2020
- Last Update Date: 01/15/2020
Medical Identifiers
Medical identifiers for Shana Susanne Mevissen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245870443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (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. Shana Susanne Mevissen 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 |
Shana Susanne Mevissen, 713 Troy Schenectady Rd Ste 224, Latham, NY 12110-2490 Ph: () - | Shana Susanne Mevissen, 3 Amhurst Ave # 3, Wilton, NY 12831-1834 Ph: (517) 778-5881 |
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