Shondalea M Jensen, LAPC in Carrollton, GA - Medicare Counselor Provider

Shondalea M Jensen, LAPC is a medicare enrolled "Counselor" provider in Carrollton, Georgia. Her current practice location is 153 Independence Dr, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 836-6678.

Shondalea M Jensen is licensed to practice in Georgia (license number APC002685) 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 1154691087.

Contact Information

	Shondalea M Jensen, LAPC
	153 Independence Dr, Carrollton, GA 30116-9000
	(770) 836-6678
	(770) 830-2266

Map and Direction

Healthcare Provider's Profile

Full Name	Shondalea M Jensen
Gender	Female
Speciality	Counselor
Location	153 Independence Dr, Carrollton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154691087
Provider Enumeration Date: 01/10/2012
Last Update Date: 01/10/2012

Medicare PECOS Information:

PECOS PAC ID: 1557703899
Enrollment ID: I20240531001417

Medical Identifiers

Medical identifiers for Shondalea M Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154691087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	APC002685 (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. Shondalea M Jensen allows following entities to bill medicare on her behalf.

Entity Name	Pathways Center For Behavioral And Developmental Growth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124183082 PECOS PAC ID: 5193712073 Enrollment ID: O20040430000883

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. Shondalea M Jensen 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
Shondalea M Jensen, LAPC 153 Independence Dr, Carrollton, GA 30116-9000 Ph: (770) 836-6678	Shondalea M Jensen, LAPC 153 Independence Dr, Carrollton, GA 30116-9000 Ph: (770) 836-6678

Reviews and Comments

Counselor in Carrollton, GA

Lana Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-853-4102 Fax: 770-832-3046
Kiera Rhodes, Counselor Medicare: Medicare Enrolled Practice Location: 2385 Oak Grove Church Rd, Carrollton, GA 30117 Phone: 404-398-3135
Dr. Hayley Elizabeth Kast, LPC Counselor Medicare: Medicare Enrolled Practice Location: 173 Kilgore Rd Ste 206, Carrollton, GA 30116 Phone: 770-653-5974
Tracy C Wilson, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-832-9140 Fax: 770-832-3046
Corey Brian Hindman, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Maple St, Carrollton, GA 30118 Phone: 678-839-5338
Carolyn Sue Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 Dixie St, Carrollton, GA 30117 Phone: 678-372-9979
Ms. Tiffani Venigee Fryar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2032 Maple St, Carrollton, GA 30117 Phone: 678-890-6127

Shondalea M Jensen, LAPC - Medicare Counselor in Carrollton, GA