Shawn White, LPCC in Bowling Green, KY - Medicare Counselor Provider

Shawn White, LPCC is a medicare enrolled "Counselor - Professional" provider in Bowling Green, Kentucky. His current practice location is 1143 Fairway Street, Ste 103, Bowling Green, Kentucky. You can reach out to his office (for appointments etc.) via phone at (407) 347-4536.

Shawn White is licensed to practice in Kentucky (license number 264171) 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 1073016903.

Contact Information

	Shawn White, LPCC
	1143 Fairway Street, Ste 103, Bowling Green, KY 42103-2452
	(407) 347-4536
	(812) 285-8392

Map and Direction

Healthcare Provider's Profile

Full Name	Shawn White
Gender	Male
Speciality	Counselor - Professional
Location	1143 Fairway Street, Bowling Green, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073016903
Provider Enumeration Date: 03/16/2018
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1052750171
Enrollment ID: I20240422001738

Medical Identifiers

Medical identifiers for Shawn White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073016903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	264171 (Kentucky)	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. Shawn White allows following entities to bill medicare on his behalf.

Entity Name	Lake Substance Abuse Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124598669 PECOS PAC ID: 8123440401 Enrollment ID: O20200715001084

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. Shawn White 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
Shawn White, LPCC 1143 Fairway Street, Ste 103, Bowling Green, KY 42103-2452 Ph: (407) 347-4536	Shawn White, LPCC 1143 Fairway Street, Ste 103, Bowling Green, KY 42103-2452 Ph: (407) 347-4536

Reviews and Comments

Counselor in Bowling Green, KY

Mr. Gatt Read Ware Sr., TLCADC, BIP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1043 Pedigo Way Ste 30, Bowling Green, KY 42103 Phone: 270-495-1224 Fax: 270-599-0023
Heather Charlene Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000
Natalie Christine Kelley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1906 College Heights Blvd, Bowling Green, KY 42101 Phone: 270-745-4204
Emily A Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1035 Porter Pike, Bowling Green, KY 42103 Phone: 270-418-6327
Mrs. Rozalind Bell, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1711 Ashley Cir, Suite 2, Bowling Green, KY 42104 Phone: 270-935-5125
Karen T Garrity, LPCC, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 Suwannee Trail Street, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268
Kylee Sipes, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1621 Scottsville Rd, Bowling Green, KY 42104 Phone: 270-746-6600 Fax: 270-842-9008

Shawn White, LPCC - Medicare Counselor in Bowling Green, KY