Mrs Shirley W King, MA, LMHC in Jacksonville, FL

Mrs Shirley W King, MA, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Jacksonville, Florida. Her current practice location is 6950 Philips Hwy Ste 11, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 239-3677.

Mrs Shirley W King is licensed to practice in Florida (license number MH20739) 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 1609511955.

Contact Information

	Mrs Shirley W King, MA, LMHC
	6950 Philips Hwy Ste 11, Jacksonville, FL 32216-6082
	(904) 239-3677
	(908) 866-4029

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shirley W King
Gender	Female
Speciality	Counselor - Mental Health
Location	6950 Philips Hwy Ste 11, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609511955
Provider Enumeration Date: 05/02/2022
Last Update Date: 02/26/2024

Medicare PECOS Information:

PECOS PAC ID: 0042668717
Enrollment ID: I20231120001180

Medical Identifiers

Medical identifiers for Mrs Shirley W King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609511955	NPI	-	NPPES
MH20739	Other	FL	FL DOH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH20739 (Florida)	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. Mrs Shirley W King allows following entities to bill medicare on her behalf.

Entity Name	Gauler & Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730405002 PECOS PAC ID: 6901046945 Enrollment ID: O20130715000753

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. Mrs Shirley W King 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
Mrs Shirley W King, MA, LMHC 6950 Philips Hwy Ste 11, Jacksonville, FL 32216-6082 Ph: (904) 239-3677	Mrs Shirley W King, MA, LMHC 6950 Philips Hwy Ste 11, Jacksonville, FL 32216-6082 Ph: (904) 239-3677

Reviews and Comments

Counselor in Jacksonville, FL

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Stanvonna Shootes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664
Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594
Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017

Mrs Shirley W King, MA, LMHC - Medicare Counselor in Jacksonville, FL