Shayla Renee Hickman, LCPC in Ammon, ID - Medicare Counselor Provider

Shayla Renee Hickman, LCPC is a medicare enrolled "Counselor" provider in Ammon, Idaho. Her current practice location is 2705 E 17th St, Ammon, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 346-7500.

Shayla Renee Hickman is licensed to practice in Idaho (license number LPC-6891) 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 1225515299.

Contact Information

	Shayla Renee Hickman, LCPC
	2705 E 17th St, Ammon, ID 83406-6601
	(208) 346-7500
	(208) 346-7501

Map and Direction

Healthcare Provider's Profile

Full Name	Shayla Renee Hickman
Gender	Female
Speciality	Counselor
Location	2705 E 17th St, Ammon, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225515299
Provider Enumeration Date: 07/23/2018
Last Update Date: 05/18/2021

Medicare PECOS Information:

PECOS PAC ID: 3971956079
Enrollment ID: I20240124004929

Medical Identifiers

Medical identifiers for Shayla Renee Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225515299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LPC-6891 (Idaho)	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. Shayla Renee Hickman allows following entities to bill medicare on her behalf.

Entity Name	Pearl Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447426465 PECOS PAC ID: 0840356077 Enrollment ID: O20090312000617

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. Shayla Renee Hickman 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
Shayla Renee Hickman, LCPC 2705 E 17th St, Ammon, ID 83406-6601 Ph: (208) 346-7500	Shayla Renee Hickman, LCPC 2705 E 17th St, Ammon, ID 83406-6601 Ph: (208) 346-7500

Reviews and Comments

Counselor in Ammon, ID

Elizabeth Whitehead, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1323 Ammon Park Dr, Ammon, ID 83406 Phone: 208-932-8350 Fax: 208-938-2330
Elizabeth Harding, Counselor Medicare: Medicare Enrolled Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 Fax: 208-523-5627
Siu Ling Chi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500
Mr. Zakery R Warren, LCPC4472 Counselor Medicare: Medicare Enrolled Practice Location: 2705 E 17th St Ste A, Ammon, ID 83406 Phone: 208-346-7500 Fax: 208-346-7501
Angela Lynn Seal, BS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 N Curlew Dr Apt 3105, Ammon, ID 83401 Phone: 208-569-6670
Alyson Marie Webster, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1329 Ammon Park Dr, Ammon, ID 83406 Phone: 208-516-1003 Fax: 208-516-1014
Colin Waters, Counselor Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500

Shayla Renee Hickman, LCPC - Medicare Counselor in Ammon, ID