Tess Nicole Shafer, in Provo, UT - Medicare Counselor Provider

Tess Nicole Shafer, is a medicare enrolled "Counselor - Mental Health" provider in Provo, Utah. Her current practice location is 750 N Freedom Blvd, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 373-4760.

Tess Nicole Shafer is licensed to practice in Utah (license number 95329586004) 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 1437526886.

Contact Information

	Tess Nicole Shafer,
	750 N Freedom Blvd, Provo, UT 84601-1677
	(801) 373-4760
	(801) 373-0639

Map and Direction

Healthcare Provider's Profile

Full Name	Tess Nicole Shafer
Gender	Female
Speciality	Counselor - Mental Health
Location	750 N Freedom Blvd, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437526886
Provider Enumeration Date: 09/01/2015
Last Update Date: 04/12/2022

Medicare PECOS Information:

PECOS PAC ID: 1557711553
Enrollment ID: I20240102004112

Medical Identifiers

Medical identifiers for Tess Nicole Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437526886	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	95329586004 (Utah)	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. Tess Nicole Shafer allows following entities to bill medicare on her behalf.

Entity Name	Wasatch Behavioral Health Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014

Entity Name	Hidden Piece Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174374193 PECOS PAC ID: 0345783650 Enrollment ID: O20240614002093

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. Tess Nicole Shafer 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
Tess Nicole Shafer, 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760	Tess Nicole Shafer, 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760

Reviews and Comments

Counselor in Provo, UT

Susan Easton Black, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-7620 Fax: 801-422-0165
Daniel Howell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N 500 W, Provo, UT 84601 Phone: 801-375-4240 Fax: 801-375-4241
Vicki Goodman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N 500 W, Provo, UT 84601 Phone: 801-420-0465 Fax: 801-375-4241
Colbey Bentley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 N 1850 W, Provo, UT 84604 Phone: 801-375-4240 Fax: 801-375-4241
Maurhy Alfredo Meneses, Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 N 1375 W, Provo, UT 84604 Phone: 801-375-2523 Fax: 801-375-2523
David Skiles, CMHC Counselor Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 Fax: 801-373-0639
Scott D Owen, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3651 N 100 E Ste 100, Provo, UT 84604 Phone: 801-356-0014 Fax: 801-373-3655

Tess Nicole Shafer, - Medicare Counselor in Provo, UT