Shereka S Shaw, LPC in Smyrna, GA - Medicare Counselor Provider

Shereka S Shaw, LPC is a medicare enrolled "Counselor - Professional" provider in Smyrna, Georgia. Her current practice location is 1260 Winchester Pkwy Se Ste 200, Smyrna, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 309-0000.

Shereka S Shaw is licensed to practice in Georgia (license number LPC0007419) 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 1144759788.

Contact Information

	Shereka S Shaw, LPC
	1260 Winchester Pkwy Se Ste 200, Smyrna, GA 30080-6546
	(678) 309-0000
	(678) 309-0003

Map and Direction

Healthcare Provider's Profile

Full Name	Shereka S Shaw
Gender	Female
Speciality	Counselor - Professional
Location	1260 Winchester Pkwy Se Ste 200, Smyrna, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144759788
Provider Enumeration Date: 06/07/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3476099060
Enrollment ID: I20240718004398

Medical Identifiers

Medical identifiers for Shereka S Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144759788	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC0007419 (Georgia)	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. Shereka S Shaw allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Shereka S Shaw 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
Shereka S Shaw, LPC 1260 Winchester Pkwy Se Ste 200, Smyrna, GA 30080-6546 Ph: (678) 309-0000	Shereka S Shaw, LPC 1260 Winchester Pkwy Se Ste 200, Smyrna, GA 30080-6546 Ph: (678) 309-0000

Reviews and Comments

Counselor in Smyrna, GA

Jarrod Keith Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5199 Whiteoak Ave Se, Smyrna, GA 30080 Phone: 409-540-0262
Mary Margaret Tardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4045 Orchard Rd Se Ste 110, Smyrna, GA 30080 Phone: 770-293-1950
Alicia Liphard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4015 S Cobb Dr Se, Suite 100, Smyrna, GA 30080 Phone: 770-319-8013
Tommie Mack Richardson, MD Counselor Medicare: Accepting Medicare Assignments Practice Location: 400 Technology Ct Se Ste J, Smyrna, GA 30082 Phone: 770-866-5700 Fax: 770-436-7143
Mrs. Rachel A Fishman, M.A., LAPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3485 Danvers Walk Se, Smyrna, GA 30080 Phone: 404-695-8069
Frederica Mcclary-myers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1533 Walton Ln Se, Smyrna, GA 30082 Phone: 404-931-2166
Catherine Grace Seaver, MS, NCC, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1148 Concord Rd Se, Smyrna, GA 30080 Phone: 770-410-8376

Shereka S Shaw, LPC - Medicare Counselor in Smyrna, GA