Staci Short, in Baton Rouge, LA - Medicare Counselor Provider

Staci Short, is a medicare enrolled "Counselor - Professional" provider in Baton Rouge, Louisiana. Her current practice location is 1769 Boulevard De Province Apt E, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 892-4444.

Staci Short is licensed to practice in Louisiana (license number LPC3219) 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 1376931501.

Contact Information

	Staci Short,
	1769 Boulevard De Province Apt E, Baton Rouge, LA 70816-8618
	(225) 892-4444
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Short
Gender	Female
Speciality	Counselor - Professional
Location	1769 Boulevard De Province Apt E, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376931501
Provider Enumeration Date: 12/22/2014
Last Update Date: 11/30/2016

Medicare PECOS Information:

PECOS PAC ID: 7810340775
Enrollment ID: I20240126001392

Medical Identifiers

Medical identifiers for Staci Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376931501	NPI	-	NPPES
47-2598992	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MFT 1096 (Louisiana)	Secondary
101YP2500X	Counselor - Professional	MFT 1096 (Louisiana)	Secondary
101YS0200X	Counselor - School	MFT 1096 (Louisiana)	Secondary
106H00000X	Marriage & Family Therapist	MFT 1096 (Louisiana)	Secondary
101YP2500X	Counselor - Professional	LPC3219 (Louisiana)	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. Staci Short allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Providers For A Healthy Feliciana Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821245127 PECOS PAC ID: 1052220985 Enrollment ID: O20040224000173

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. Staci Short 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
Staci Short, 1769 Boulevard De Province Apt E, Baton Rouge, LA 70816-8618 Ph: () -	Staci Short, 1769 Boulevard De Province Apt E, Baton Rouge, LA 70816-8618 Ph: (225) 892-4444

Reviews and Comments

Counselor in Baton Rouge, LA

Janet Roy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4615 Government St, Building 2, Baton Rouge, LA 70806 Phone: 225-925-1906 Fax: 225-925-1972
Dr. Shalanda R Judge, ED.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Goodwood Blvd Ste A1, Baton Rouge, LA 70806 Phone: 225-421-1921
Devora Knight, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8706 Jefferson Hwy Ste A, Baton Rouge, LA 70809 Phone: 225-926-9706 Fax: 225-926-9708
Alacia Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3968 North Blvd, Baton Rouge, LA 70806 Phone: 225-397-4414
Jennifer Sampson Norwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 422 Colonial Dr, Baton Rouge, LA 70806 Phone: 225-292-5151
Doris Hammond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12097 Old Hammond Hwy Ste I4, Baton Rouge, LA 70816 Phone: 225-246-8816 Fax: 225-302-5506
Staci Nicole Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11616 Southfork Ave, Baton Rouge, LA 70816 Phone: 225-291-9646

Staci Short, - Medicare Counselor in Baton Rouge, LA