Shelly Folta, MSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Sapulpa, Oklahoma. Her current practice location is
2 N Water St, Sapulpa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 688-4234.
Shelly Folta 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 1417293911.
Healthcare Provider's Profile
| Full Name | Shelly Folta |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 2 N Water St, Sapulpa, Oklahoma |
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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: 1417293911
- Provider Enumeration Date: 01/02/2013
- Last Update Date: 10/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 4183085657
- Enrollment ID: I20230731002768
Medical Identifiers
Medical identifiers for Shelly Folta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417293911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (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. Shelly Folta allows following entities to bill medicare on her behalf.
| Entity Name | Cherokee Nation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
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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. Shelly Folta 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 |
Shelly Folta, MSW 2 N Water St, Sapulpa, OK 74066-2816 Ph: (918) 688-4234 | Shelly Folta, MSW 2 N Water St, Sapulpa, OK 74066-2816 Ph: (918) 688-4234 |
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