Shannon Nakeayva Mines, LPC in North Dinwiddie, VA

Shannon Nakeayva Mines, LPC is a medicare enrolled "Counselor - Professional" provider in North Dinwiddie, Virginia. Her current practice location is 23331 Dabney Mill Rd, North Dinwiddie, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 837-0630.

Shannon Nakeayva Mines is licensed to practice in Virginia (license number 0701008071.) 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 1962966010.

Contact Information

	Shannon Nakeayva Mines, LPC
	23331 Dabney Mill Rd, North Dinwiddie, VA 23803-9101
	(804) 837-0630
	(804) 469-4944

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Nakeayva Mines
Gender	Female
Speciality	Counselor - Professional
Location	23331 Dabney Mill Rd, North Dinwiddie, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962966010
Provider Enumeration Date: 01/23/2019
Last Update Date: 01/23/2019

Medicare PECOS Information:

PECOS PAC ID: 7416394333
Enrollment ID: I20240327000405

Medical Identifiers

Medical identifiers for Shannon Nakeayva Mines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962966010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701008071. (Virginia)	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 Nakeayva Mines allows following entities to bill medicare on her behalf.

Entity Name	District 19 Community Services Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225094451 PECOS PAC ID: 4082502398 Enrollment ID: O20040421001639

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 Nakeayva Mines 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 Nakeayva Mines, LPC 23331 Dabney Mill Rd, North Dinwiddie, VA 23803-9101 Ph: (804) 837-0630	Shannon Nakeayva Mines, LPC 23331 Dabney Mill Rd, North Dinwiddie, VA 23803-9101 Ph: (804) 837-0630

Reviews and Comments

Counselor in North Dinwiddie, VA

Valeria Randall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25024 Gilmar Ct, North Dinwiddie, VA 23803 Phone: 804-898-6102
V'tessa J Watson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22701 Steers Rd, North Dinwiddie, VA 23803 Phone: 804-368-4930
Tosheika Nashieh Goode, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4023 Moss Point Dr, North Dinwiddie, VA 23803 Phone: 804-621-9825
Chanel D Morgan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6125 Duncan Rd Apt F, North Dinwiddie, VA 23803 Phone: 804-720-6204
Felicia Ann Kelsey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5311 Moody Dr, North Dinwiddie, VA 23803 Phone: 804-868-8368

Shannon Nakeayva Mines, LPC - Medicare Counselor in North Dinwiddie, VA