Daeseong Shin, LCPC in Glen Burnie, MD - Medicare Counselor Provider

Daeseong Shin, LCPC is a medicare enrolled "Counselor" provider in Glen Burnie, Maryland. His current practice location is 429 Ingram Ct, Glen Burnie, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 585-8167.

Daeseong Shin is licensed to practice in Maryland (license number LC14961) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073322558.

Contact Information

	Daeseong Shin, LCPC
	429 Ingram Ct, Glen Burnie, MD 21061-6125
	(443) 585-8167
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Daeseong Shin
Gender	Male
Speciality	Counselor
Location	429 Ingram Ct, Glen Burnie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073322558
Provider Enumeration Date: 12/30/2024
Last Update Date: 01/02/2025

Medicare PECOS Information:

PECOS PAC ID: 9739603556
Enrollment ID: I20250414000960

Medical Identifiers

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

Identifier	Type	State	Issuer
1073322558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LC14961 (Maryland)	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. Daeseong Shin allows following entities to bill medicare on his behalf.

Entity Name	Institute For Healing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629438122 PECOS PAC ID: 9436456464 Enrollment ID: O20160318000655

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. Daeseong Shin 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
Daeseong Shin, LCPC 429 Ingram Ct, Glen Burnie, MD 21061-6125 Ph: (443) 585-8167	Daeseong Shin, LCPC 429 Ingram Ct, Glen Burnie, MD 21061-6125 Ph: (443) 585-8167

Reviews and Comments

Counselor in Glen Burnie, MD

Ms. Leslie A Stanbury, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Langley Road North, Suite B, Glen Burnie, MD 21060 Phone: 410-222-0100 Fax: 410-222-0116
Sharon Clements, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Crain Hwy N, Glen Burnie, MD 21061 Phone: 443-768-7235
Ms. Traci A. Olivier, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Langley Road North, Suite B, Glen Burnie, MD 21060 Phone: 410-222-0100 Fax: 410-222-0116
Lissette Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 898 Airport Park Rd Ste 101, Glen Burnie, MD 21061 Phone: 443-599-9460
Allison Tate Pastine, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7401 Ritchie Hwy, Glen Burnie, MD 21061 Phone: 443-250-6653 Fax: 410-740-8068
Tiffany Nicole Huff, ADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Madison Park Dr, Glen Burnie, MD 21061 Phone: 410-999-0891
Mrs. Karen Ann Rhodes, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 Crain Hwy S, Glen Burnie, MD 21061 Phone: 410-766-6624

Daeseong Shin, LCPC - Medicare Counselor in Glen Burnie, MD