Shelly Rae Ehmann, MC, LPC in Holbrook, AZ - Medicare Counselor Provider

Shelly Rae Ehmann, MC, LPC is a medicare enrolled "Counselor - Professional" provider in Holbrook, Arizona. Her current practice location is 105 N 5th Ave, Holbrook, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 524-6126.

Shelly Rae Ehmann is licensed to practice in Arizona (license number LPC-2472) 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 1083841928.

Contact Information

	Shelly Rae Ehmann, MC, LPC
	105 N 5th Ave, Holbrook, AZ 86025-2817
	(928) 524-6126
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelly Rae Ehmann
Gender	Female
Speciality	Counselor - Professional
Location	105 N 5th Ave, Holbrook, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083841928
Provider Enumeration Date: 06/18/2009
Last Update Date: 06/18/2009

Medicare PECOS Information:

PECOS PAC ID: 5092015743
Enrollment ID: I20240226003608

Medical Identifiers

Medical identifiers for Shelly Rae Ehmann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083841928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-2472 (Arizona)	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 Rae Ehmann allows following entities to bill medicare on her behalf.

Entity Name	Turnwell Mental Health Of Arizona, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639872518 PECOS PAC ID: 4981063328 Enrollment ID: O20230704000179

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 Rae Ehmann 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
Shelly Rae Ehmann, MC, LPC 2832 View Way, Lakeside, AZ 85929-5549 Ph: (928) 242-8729	Shelly Rae Ehmann, MC, LPC 105 N 5th Ave, Holbrook, AZ 86025-2817 Ph: (928) 524-6126

Reviews and Comments

Counselor in Holbrook, AZ

Nathan Velez, PH.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 N 5th Ave, Holbrook, AZ 86025 Phone: 928-524-6126 Fax: 928-524-6090
Gretchen Elizabeth Herndon, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 N 1st Ave, Holbrook, AZ 86025 Phone: 928-524-6126 Fax: 928-524-6090
Mr. Randolph Scott Hollingsworth, LPC/:ISAC Counselor Medicare: Medicare Enrolled Practice Location: 1305 Spurlock Ave, Holbrook, AZ 86025 Phone: 520-249-8428
Loretta Ann Dunn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 North Fifth Avenue, Holbrook, AZ 86025 Phone: 928-524-6126 Fax: 928-524-6090
Ms. Cindy L Percy, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 455 N 8th Ave, Holbrook High School, Holbrook, AZ 86025 Phone: 928-524-2815 Fax: 928-524-3537
Eugene Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 N 5th Ave, Holbrook, AZ 86025 Phone: 928-524-6126 Fax: 928-524-6090

Shelly Rae Ehmann, MC, LPC - Medicare Counselor in Holbrook, AZ