Dr Shakesha Montina Evans, PHD is a medicare enrolled "Psychologist - Clinical" provider in Addison, Texas. Her current practice location is
16160 Midway Rd Ste 218, Addison, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 680-3500.
Dr Shakesha Montina Evans is licensed to practice in Texas (license number 37933) 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 1174841910.
Healthcare Provider's Profile
Full Name | Dr Shakesha Montina Evans |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 16160 Midway Rd Ste 218, Addison, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174841910
- Provider Enumeration Date: 05/04/2010
- Last Update Date: 03/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537576012
- Enrollment ID: I20210330000173
Medical Identifiers
Medical identifiers for Dr Shakesha Montina Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174841910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 201620 (Texas) | Secondary |
103TC0700X | Psychologist - Clinical | 37933 (Texas) | 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. Dr Shakesha Montina Evans allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
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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. Dr Shakesha Montina Evans 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 |
Dr Shakesha Montina Evans, PHD 309 Sandy Creek Dr, Desoto, TX 75115-5390 Ph: (580) 284-6809 | Dr Shakesha Montina Evans, PHD 16160 Midway Rd Ste 218, Addison, TX 75001-4207 Ph: (469) 680-3500 |
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