Thomas Shaffer, LCMHC-S in Winston Salem, NC - Medicare Counselor Provider

Thomas Shaffer, LCMHC-S is a medicare enrolled "Counselor - Professional" provider in Winston Salem, North Carolina. His current practice location is 1615 Polo Rd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 722-7266.

Thomas Shaffer is licensed to practice in North Carolina (license number 9580) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861789604.

Contact Information

	Thomas Shaffer, LCMHC-S
	1615 Polo Rd, Winston Salem, NC 27106-3831
	(336) 722-7266
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Thomas Shaffer
Gender	Male
Speciality	Counselor - Professional
Location	1615 Polo Rd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861789604
Provider Enumeration Date: 06/30/2011
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 9032552955
Enrollment ID: I20240208000037

Medical Identifiers

Medical identifiers for Thomas Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861789604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	9580 (North Carolina)	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. Thomas Shaffer allows following entities to bill medicare on his behalf.

Entity Name	Mood Treatment Center, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285867952 PECOS PAC ID: 6103068598 Enrollment ID: O20130814000785

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. Thomas Shaffer 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
Thomas Shaffer, LCMHC-S 713 S Marshall St, Winston Salem, NC 27101-5808 Ph: (336) 722-7266	Thomas Shaffer, LCMHC-S 1615 Polo Rd, Winston Salem, NC 27106-3831 Ph: (336) 722-7266

Reviews and Comments

Counselor in Winston Salem, NC

Timothy Carl Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Highland Ave, Winston Salem, NC 27101 Phone: 336-607-8523
Keren Happuch Williams, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103 Phone: 336-718-7250 Fax: 336-718-7260
Amy Bowden, LCSWA Counselor Medicare: Accepting Medicare Assignments Practice Location: 665 W 4th St, Winston Salem, NC 27101 Phone: 336-725-8389 Fax: 336-725-6628
Chelsea Baldwin Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7670 N Point Ct, Winston Salem, NC 27106 Phone: 855-362-8470 Fax: 704-362-8464
Mrs. Amy Kolb Shuman, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Holly Ave, Winston Salem, NC 27101 Phone: 336-725-3999
Amanda Grace Connelly, Counselor Medicare: Medicare Enrolled Practice Location: 4140 Cherry St, Winston Salem, NC 27105 Phone: 336-306-9620
Lesa Arnold Chesson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4265 Brownsboro Rd, Suite 214, Winston Salem, NC 27106 Phone: 336-896-0022

Thomas Shaffer, LCMHC-S - Medicare Counselor in Winston Salem, NC