Shannon M Miller, in South Daytona, FL - Medicare Counselor Provider

Shannon M Miller, is a medicare enrolled "Counselor - Mental Health" provider in South Daytona, Florida. Her current practice location is 1635 S Ridgewood Ave Ste 201, South Daytona, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 584-0452.

Shannon M Miller is licensed to practice in Florida (license number MH21281) 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 1770821944.

Contact Information

	Shannon M Miller,
	1635 S Ridgewood Ave Ste 201, South Daytona, FL 32119-8425
	(772) 584-0452
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon M Miller
Gender	Female
Speciality	Counselor - Mental Health
Location	1635 S Ridgewood Ave Ste 201, South Daytona, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770821944
Provider Enumeration Date: 01/23/2013
Last Update Date: 10/02/2024

Medicare PECOS Information:

PECOS PAC ID: 3476991985
Enrollment ID: I20240403002595

Medical Identifiers

Medical identifiers for Shannon M Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770821944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2876 (Nebraska)	Secondary
101YM0800X	Counselor - Mental Health	MH21281 (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 M Miller allows following entities to bill medicare on her behalf.

Entity Name	Sma Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356329163 PECOS PAC ID: 0244226363 Enrollment ID: O20040423000483

Entity Name	Daytona Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487419396 PECOS PAC ID: 1658719166 Enrollment ID: O20240403001546

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 M Miller 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 M Miller, 4537 Nettle Creek Ct, Port Orange, FL 32127-9208 Ph: (772) 584-0452	Shannon M Miller, 1635 S Ridgewood Ave Ste 201, South Daytona, FL 32119-8425 Ph: (772) 584-0452

Reviews and Comments

Counselor in South Daytona, FL

Mr. Marcus Zachariah Folkes, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, Suite 32, South Daytona, FL 32119 Phone: 386-304-7600
Gay Nibert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, Suite 32, South Daytona, FL 32119 Phone: 386-304-7600
Terri Lashell Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave Ste 32, South Daytona, FL 32119 Phone: 407-782-7250
Natalie Sheridan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-295-9406
Mrs. Tameria B Vickers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-304-7600
Dr. Marie Bracciale, PH.D. , LMFT, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Elizabeth Pl, South Daytona, FL 32119 Phone: 386-322-6180 Fax: 386-506-0008
Maysia S Allen, MS, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2248 Robinhood Trl, South Daytona, FL 32119 Phone: 386-898-2501

Shannon M Miller, - Medicare Counselor in South Daytona, FL