Shelley Kay Buffington, LAC - Medicare Counselor in Bismarck, ND

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Shelley Kay Buffington, LAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Bismarck, North Dakota. Her current practice location is 515 1/2 E Broadway Ave Ste 106, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 751-0443.

Shelley Kay Buffington is licensed to practice in North Dakota (license number KLE-66-4695) 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 1114956471.

Contact Information

Shelley Kay Buffington, LAC
515 1/2 E Broadway Ave Ste 106,
Bismarck, ND 58501-4408
(701) 751-0443
(701) 751-1616

Map and Direction


Healthcare Provider's Profile

Full NameShelley Kay Buffington
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location515 1/2 E Broadway Ave Ste 106, Bismarck, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114956471
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 05/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5496142507
  • Enrollment ID: I20240131000564

Medical Identifiers

Medical identifiers for Shelley Kay Buffington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114956471NPI-NPPES
012198OtherBCBS OF ND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 834-6-1-15 (North Dakota)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) KLE-66-4695 (North Dakota)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. Shelley Kay Buffington allows following entities to bill medicare on her behalf.
Entity NameDecoteau Trauma-informed Care & Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174890016
PECOS PAC ID: 7911258025
Enrollment ID: O20180927002926

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. Shelley Kay Buffington 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 AddressPractice Location Address
Shelley Kay Buffington, LAC
515 E Broadway Ave Ste 106,
Bismarck, ND 58501-4407

Ph: (701) 751-0443		Shelley Kay Buffington, LAC
515 1/2 E Broadway Ave Ste 106,
Bismarck, ND 58501-4408

Ph: (701) 751-0443

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.