James E Sheffield, LPC - Medicare Counselor in Albany, GA

James E Sheffield, LPC is a medicare enrolled "Counselor - Mental Health" provider in Albany, Georgia. His current practice location is 500 W 3rd Ave, Albany, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 312-7001.

James E Sheffield is licensed to practice in Georgia (license number LPC001205) 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 1326081175.

Contact Information

James E Sheffield, LPC
500 W 3rd Ave,
Albany, GA 31701-1985
(229) 312-7001
(229) 312-7006

Map and Direction


Healthcare Provider's Profile

Full NameJames E Sheffield
GenderMale
SpecialityCounselor - Mental Health
Location500 W 3rd Ave, Albany, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326081175
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 03/12/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8325484678
  • Enrollment ID: I20240309000318

Medical Identifiers

Medical identifiers for James E Sheffield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326081175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC001205 (Georgia)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. James E Sheffield allows following entities to bill medicare on his behalf.
Entity NameAlbany Area Community Svc. Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063464212
PECOS PAC ID: 9032190483
Enrollment ID: O20040601000373

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. James E Sheffield 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 AddressPractice Location Address
James E Sheffield, LPC
417 W 3rd Ave, P.o. Box 1828,
Albany, GA 31701-1943

Ph: (229) 312-7001
James E Sheffield, LPC
500 W 3rd Ave,
Albany, GA 31701-1985

Ph: (229) 312-7001

Reviews and Comments


Counselor in Albany, GA

Susan Hardie, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 417 W 3rd Ave, Albany, GA 31701
Phone: 229-312-7001    Fax: 229-312-7006
Cynthia Morrell,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 506 N Jackson St, Albany, GA 31701
Phone: 229-889-7200    Fax: 229-889-7393
Dena Payn,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1211 Palmyra Rd, Albany, GA 31701
Phone: 229-439-8686    
Malcolm Rundell Bynum, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 321 William Jr St, Albany, GA 31707
Phone: 229-430-5100    
Mr. Roderick Mcleod Wilcox, LCSW, MFT
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 1216 Whispering Pines Rd, Albany, GA 31707
Phone: 229-435-1729    Fax: 229-435-1720
Mr. Kenneth George Myers Jr., M.A.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1511 W 3rd Ave, Suite 104, Albany, GA 31707
Phone: 229-854-4886    
Kareema Williams, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 601 11th Ave, Albany, GA 31701
Phone: 229-430-4140    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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