Shelly Marie Kennedy-gonzalez, LPC - Medicare Counselor in Sapulpa, OK

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Shelly Marie Kennedy-gonzalez, LPC is a medicare enrolled "Counselor" provider in Sapulpa, Oklahoma. Her current practice location is 23 E Ross Ave, Sapulpa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 227-2016.

Shelly Marie Kennedy-gonzalez is licensed to practice in Oklahoma (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 1679923320.

Contact Information

Shelly Marie Kennedy-gonzalez, LPC
23 E Ross Ave,
Sapulpa, OK 74066-6423
(918) 227-2016
(918) 227-1125

Map and Direction


Healthcare Provider's Profile

Full NameShelly Marie Kennedy-gonzalez
GenderFemale
SpecialityCounselor
Location23 E Ross Ave, Sapulpa, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679923320
  • Provider Enumeration Date: 06/14/2016
  • Last Update Date: 09/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5395184451
  • Enrollment ID: I20240422003081

Medical Identifiers

Medical identifiers for Shelly Marie Kennedy-gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679923320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 6888 (Oklahoma)Secondary
101Y00000XCounselor (Oklahoma)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. Shelly Marie Kennedy-gonzalez allows following entities to bill medicare on her behalf.
Entity NameEvolution Mental Health Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831714815
PECOS PAC ID: 5496106593
Enrollment ID: O20240112000878

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. Shelly Marie Kennedy-gonzalez 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
Shelly Marie Kennedy-gonzalez, LPC
112 E Laredo Pl,
Broken Arrow, OK 74012-7957

Ph: (918) 227-2016		Shelly Marie Kennedy-gonzalez, LPC
23 E Ross Ave,
Sapulpa, OK 74066-6423

Ph: (918) 227-2016

Reviews and Comments


Counselor in Sapulpa, OK

Mrs. Grace Daniel Joy,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 15 E Dewey Ave, Sapulpa, OK 74066
Phone: 918-227-2016    Fax: 918-227-1125
Mr. Daniel L Sherman, M.S.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 15 E Dewey Ave, Sapulpa, OK 74066
Phone: 918-227-2016    
Micah Robert Barker,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1231 E Dewey Ave, Sapulpa, OK 74066
Phone: 918-227-6800    
Ms. Melinda L Miles, MS, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 515 S Elm St, Sapulpa, OK 74066
Phone: 918-284-7541    
Krista Hearon, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Edgewood Ln, Sapulpa, OK 74066
Phone: 405-938-5786    
Mrs. Linda Ruth Lokey,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 23 E Ross Ave, Sapulpa, OK 74066
Phone: 918-216-4622    Fax: 918-227-5875
Ms. Valerie Jo Cartos,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 23 E Ross Ave, Sapulpa, OK 74066
Phone: 918-227-2016    Fax: 918-227-1125

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.