<unavail> in Wichita Falls, TX - Medicare Counselor

is a medicare enrolled mental health clinic (Counselor - Mental Health) in Wichita Falls, Texas. The current practice location for is 4812 Maplewood Ave # 76308, Wichita Falls, Texas. For appointments, you can reach them via phone at (940) 432-8631. The mailing address for is 4812 Maplewood Ave, Wichita Falls, Texas and phone number is (940) 432-8631.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1710342258. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (940) 432-8631.

Contact Information


	4812 Maplewood Ave # 76308 Wichita Falls TX 76308-5312
	(940) 432-8631
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Counselor
Location	4812 Maplewood Ave # 76308, Wichita Falls, Texas
Authorized Official Name and Position	Martin K Shaw (CEO/SOLE OWNER)
Authorized Official Contact	9407331825
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4812 Maplewood Ave Wichita Falls TX 76308-5312 Ph: (940) 432-8631	4812 Maplewood Ave # 76308 Wichita Falls TX 76308-5312 Ph: (940) 432-8631

NPI Details:

NPI Number	1710342258
Provider Enumeration Date	12/29/2015
Last Update Date	05/07/2024
Certification Date	05/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8426595208
Medicare Enrollment ID	O20240730002786

Medical Identifiers

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

Identifier	Type	State	Issuer
1710342258	NPI	-	NPPES
357470901	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. acts as a billing entity for following providers:

Provider Name	Martin K Shaw
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1215178926 PECOS PAC ID: 9931558483 Enrollment ID: I20240304003166

Reviews and Comments

Counselor in Wichita Falls, TX

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- Medicare Mental Health Clinic in Wichita Falls, TX