Shelby Mckenzie Spade, in Canby, OR - Medicare Counselor Provider

Shelby Mckenzie Spade, is a medicare enrolled "Counselor - Mental Health" provider in Canby, Oregon. Her current practice location is 22018 S Central Point Rd, Canby, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 221-4531.

Shelby Mckenzie Spade is licensed to practice in * (Not Available) (license number ) 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 1003586819.

Contact Information

	Shelby Mckenzie Spade,
	22018 S Central Point Rd, Canby, OR 97013-8705
	(503) 221-4531
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby Mckenzie Spade
Gender	Female
Speciality	Counselor - Mental Health
Location	22018 S Central Point Rd, Canby, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003586819
Provider Enumeration Date: 09/14/2021
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 2163956756
Enrollment ID: I20241105000852

Medical Identifiers

Medical identifiers for Shelby Mckenzie Spade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003586819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Shelby Mckenzie Spade allows following entities to bill medicare on her behalf.

Entity Name	Alliance Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255495719 PECOS PAC ID: 1456883693 Enrollment ID: O20241014002149

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. Shelby Mckenzie Spade 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
Shelby Mckenzie Spade, 4305 Se 59th Ave, Portland, OR 97206-3853 Ph: (585) 545-0708	Shelby Mckenzie Spade, 22018 S Central Point Rd, Canby, OR 97013-8705 Ph: (503) 221-4531

Reviews and Comments

Counselor in Canby, OR

Shannon Rants, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1127 Ne 16th Ave, Canby, OR 97013 Phone: 303-552-7554
Andrea R Christopher, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531
Dr. Unique Layshaun Page, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 N Elm St, Canby, OR 97013 Phone: 503-372-5147 Fax: 503-650-4302
Miles Joyce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531
Lauren E D'agostino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531
John Margadonna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 615-600-8056

Shelby Mckenzie Spade, - Medicare Counselor in Canby, OR