Shasta Kaylee Belt, is a medicare enrolled "Marriage & Family Therapist" provider in Clinton Township, Michigan. Her current practice location is
22600 Hall Rd Ste 201, Clinton Township, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 996-2273.
Shasta Kaylee Belt is licensed to practice in * (Not Available) (license number ) 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 1699345801.
Healthcare Provider's Profile
| Full Name | Shasta Kaylee Belt |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 22600 Hall Rd Ste 201, Clinton Township, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699345801
- Provider Enumeration Date: 06/29/2021
- Last Update Date: 06/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739624958
- Enrollment ID: I20240712000115
Medical Identifiers
Medical identifiers for Shasta Kaylee Belt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699345801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | 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. Shasta Kaylee Belt allows following entities to bill medicare on her behalf.
| Entity Name | Colonial Woods Missionary Church |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033372818
PECOS PAC ID: 7810140043
Enrollment ID: O20130118000437 |
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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. Shasta Kaylee Belt 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 |
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Shasta Kaylee Belt,
1721 N Delano St,
Saint Clair, MI 48079-5268
Ph: (619) 850-7231 | Shasta Kaylee Belt,
22600 Hall Rd Ste 201,
Clinton Township, MI 48036-1173
Ph: (586) 996-2273 |
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