Shannon Kelly Mcfauls, LMHC in Yulee, FL - Medicare Counselor Provider

Shannon Kelly Mcfauls, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Yulee, Florida. Her current practice location is 463380 State Road 200 Unit B, Yulee, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 500-9808.

Shannon Kelly Mcfauls is licensed to practice in Florida (license number MH17398) 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 1811231061.

Contact Information

	Shannon Kelly Mcfauls, LMHC
	463380 State Road 200 Unit B, Yulee, FL 32097-3240
	(904) 500-9808
	(904) 432-0401

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Kelly Mcfauls
Gender	Female
Speciality	Counselor - Mental Health
Location	463380 State Road 200 Unit B, Yulee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811231061
Provider Enumeration Date: 11/11/2012
Last Update Date: 10/21/2024

Medicare PECOS Information:

PECOS PAC ID: 2365984382
Enrollment ID: I20240605004162

Medical Identifiers

Medical identifiers for Shannon Kelly Mcfauls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811231061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	17398 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	MH17398 (Florida)	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. Shannon Kelly Mcfauls allows following entities to bill medicare on her behalf.

Entity Name	Physicians Group Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861440810 PECOS PAC ID: 1254238579 Enrollment ID: O20031216000099

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. Shannon Kelly Mcfauls 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
Shannon Kelly Mcfauls, LMHC 1540 Navaho Ave, Jacksonville, FL 32210-1134 Ph: (904) 513-0379	Shannon Kelly Mcfauls, LMHC 463380 State Road 200 Unit B, Yulee, FL 32097-3240 Ph: (904) 500-9808

Reviews and Comments

Counselor in Yulee, FL

Rosa Elena Haslip, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8832
Monique Samantha Moore, Counselor Medicare: Medicare Enrolled Practice Location: Po Box 655, Yulee, FL 32041 Phone: 904-468-7731
Mrs. Sarah A Smith, MHR Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8232
Gina Ferens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280
Joyce Clarice Crews, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 Sr 200, Yulee, FL 32097 Phone: 904-225-8280 Fax: 904-225-8232
Ms. Kyle K Bishop, LCPC, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 389 Muhly Grass St, Yulee, FL 32097 Phone: 301-481-9823
Anne Louise Schrauth, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 463142 State Road 200, Yulee, FL 32097 Phone: 904-225-8280

Shannon Kelly Mcfauls, LMHC - Medicare Counselor in Yulee, FL