Shane Ray Wilson, LPC,LADC in Norman, OK - Medicare Counselor Provider

Shane Ray Wilson, LPC,LADC is a medicare enrolled "Counselor - Professional" provider in Norman, Oklahoma. His current practice location is 3750 W Main St Ste Aa, Norman, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 474-9374.

Shane Ray Wilson is licensed to practice in Oklahoma (license number 2179) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063742138.

Contact Information

	Shane Ray Wilson, LPC,LADC
	3750 W Main St Ste Aa, Norman, OK 73072-4645
	(405) 474-9374
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shane Ray Wilson
Gender	Male
Speciality	Counselor - Professional
Location	3750 W Main St Ste Aa, Norman, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063742138
Provider Enumeration Date: 01/12/2010
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8527410034
Enrollment ID: I20240121000121

Medical Identifiers

Medical identifiers for Shane Ray Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063742138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	135 (Oklahoma)	Secondary
101YP2500X	Counselor - Professional	2179 (Oklahoma)	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. Shane Ray Wilson allows following entities to bill medicare on his behalf.

Entity Name	Oklahoma Mental Health Consulting, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821436064 PECOS PAC ID: 7618329129 Enrollment ID: O20240121000097

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. Shane Ray Wilson 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
Shane Ray Wilson, LPC,LADC 3750 W Main St Ste Aa, Norman, OK 73072-4645 Ph: (405) 474-9374	Shane Ray Wilson, LPC,LADC 3750 W Main St Ste Aa, Norman, OK 73072-4645 Ph: (405) 474-9374

Reviews and Comments

Counselor in Norman, OK

Dr. Marshall Andrew Glenn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3613 Gullane Dr, Norman, OK 73072 Phone: 405-249-4130
Mrs. Chyla T Hall, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw Ste E, Norman, OK 73069 Phone: 405-329-3349 Fax: 405-329-6617
Renee Thornton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 24th Ave Nw, Ste E, Norman, OK 73069 Phone: 405-329-8167
Donita K Goodin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 E Tecumseh Rd, Norman, OK 73026 Phone: 405-464-9536 Fax: 405-321-3448
Ms. Kimberlee Dawn Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2416 W Brooks St Apt 1, Norman, OK 73069 Phone: 405-982-8056
Ashley Sellers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Ferrill St, Norman, OK 73071 Phone: 580-583-3234
Loretta Gail Post, CPRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Norman, OK 73071 Phone: 405-307-4836

Shane Ray Wilson, LPC,LADC - Medicare Counselor in Norman, OK