Starshemah Duncan, MS, LPC, CDAC - Medicare Counselor in Verona, PA

Starshemah Duncan, MS, LPC, CDAC is a medicare enrolled "Counselor - Professional" provider in Verona, Pennsylvania. Her current practice location is 6031 Saltsburg Rd, Verona, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (412) 228-0714.

Starshemah Duncan is licensed to practice in Pennsylvania (license number PC011727) 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 1720479066.

Contact Information

Starshemah Duncan, MS, LPC, CDAC
6031 Saltsburg Rd,
Verona, PA 15147-3315
(412) 228-0714
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameStarshemah Duncan
GenderFemale
SpecialityCounselor - Professional
Location6031 Saltsburg Rd, Verona, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720479066
  • Provider Enumeration Date: 02/09/2015
  • Last Update Date: 11/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6103279682
  • Enrollment ID: I20240131004047

Medical Identifiers

Medical identifiers for Starshemah Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720479066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YP2500XCounselor - Professional PC011727 (Pennsylvania)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. Starshemah Duncan allows following entities to bill medicare on her behalf.
Entity NameFor My Good Counseling Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508583956
PECOS PAC ID: 9133572613
Enrollment ID: O20240131003753

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. Starshemah Duncan 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
Starshemah Duncan, MS, LPC, CDAC
6031 Saltsburg Rd,
Verona, PA 15147-3315

Ph: (412) 228-0714
Starshemah Duncan, MS, LPC, CDAC
6031 Saltsburg Rd,
Verona, PA 15147-3315

Ph: (412) 228-0714

Reviews and Comments


Counselor in Verona, PA

Mrs. Carmen Tyler, M.S.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 7984 Aber Rd, Verona, PA 15147
Phone: 412-243-7919    
Mrs. Kimberly L Thornton, M.A.
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Medicare: Not Enrolled in Medicare
Practice Location: 6031 Saltsburg Rd, Verona, PA 15147
Phone: 412-365-5811    
Troy J Clark,
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Practice Location: 4909 Verona Rd Apt 9, Verona, PA 15147
Phone: 412-706-4354    
Elizabeth Mayne Peace, LPC
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Medicare: Not Enrolled in Medicare
Practice Location: 1418 Riverview Dr, Verona, PA 15147
Phone: 724-681-8461    
Lori Gunter,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6149 Saltsburg Rd, Verona, PA 15147
Phone: 412-832-7097    
Ms. Mary Lynn Thompson Spencer, LPC
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Medicare: Not Enrolled in Medicare
Practice Location: 157 Bridge St, Verona, PA 15147
Phone: 412-609-7617    
Taylor Solomon,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6149 Saltsburg Rd, Verona, PA 15147
Phone: 412-228-0714    

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.