Shawna Tully, LMFT in Lebanon, IN - Medicare Marriage & Family Therapist Provider

Shawna Tully, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Lebanon, Indiana. Her current practice location is 1600 W Main St, Lebanon, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 574-1254.

Shawna Tully is licensed to practice in Indiana (license number 35001421A) 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 1861504995.

Contact Information

	Shawna Tully, LMFT
	1600 W Main St, Lebanon, IN 46052-2388
	(317) 574-1254
	(317) 674-0060

Map and Direction

Healthcare Provider's Profile

Full Name	Shawna Tully
Gender	Female
Speciality	Marriage & Family Therapist
Location	1600 W Main St, Lebanon, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861504995
Provider Enumeration Date: 08/31/2006
Last Update Date: 02/20/2018

Medicare PECOS Information:

PECOS PAC ID: 2567808918
Enrollment ID: I20240308000160

Medical Identifiers

Medical identifiers for Shawna Tully such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861504995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	35001421A (Indiana)	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. Shawna Tully allows following entities to bill medicare on her behalf.

Entity Name	Midwest Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427362201 PECOS PAC ID: 4587834874 Enrollment ID: O20110824000118

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. Shawna Tully 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
Shawna Tully, LMFT 5101 E Us Highway 36 Ste 100, Avon, IN 46123-6646 Ph: (888) 714-1927	Shawna Tully, LMFT 1600 W Main St, Lebanon, IN 46052-2388 Ph: (317) 574-1254

Reviews and Comments

Marriage & Family Therapist in Lebanon, IN

Dorit Tomandl, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 610 N Lebanon St, Lebanon, IN 46052 Phone: 765-680-0071 Fax: 765-436-0455
Christopher Alan Riley, LCSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1005 S Meridian St, Lebanon, IN 46052 Phone: 765-482-7421 Fax: 765-482-7462
Dorothea Mueller Goold, M.S.,LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1005 S Meridian St, Lebanon, IN 46052 Phone: 765-482-7421
Annita Michelle Coburn, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 610 N. Lebanon St., Lebanon, IN 46052 Phone: 765-680-0071 Fax: 765-436-0455
Juliette Elizabeth Mcdaniel, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1600 W Main St, Lebanon, IN 46052 Phone: 765-482-7100
Elizabeth Steuer, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1600 W Main St, Lebanon, IN 46052 Phone: 765-482-7100 Fax: 765-482-2709

Shawna Tully, LMFT - Medicare Couples Therapy in Lebanon, IN