Jessica Lea Shores, MSW in Ada, OK - Medicare Counselor Provider

Jessica Lea Shores, MSW is a medicare enrolled "Counselor" provider in Ada, Oklahoma. Her current practice location is 111 E 12th St, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 436-2690.

Jessica Lea Shores 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 1023215563.

Contact Information

	Jessica Lea Shores, MSW
	111 E 12th St, Ada, OK 74820-6501
	(580) 436-2690
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Lea Shores
Gender	Female
Speciality	Counselor
Location	111 E 12th St, Ada, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023215563
Provider Enumeration Date: 06/28/2007
Last Update Date: 08/28/2008

Medicare PECOS Information:

PECOS PAC ID: 5496050528
Enrollment ID: I20160226000967

Medical Identifiers

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

Identifier	Type	State	Issuer
1023215563	NPI	-	NPPES
10	Other	OK	MENTAL HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (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. Jessica Lea Shores allows following entities to bill medicare on her behalf.

Entity Name	Community Pathways Unlimited Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005

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. Jessica Lea Shores 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
Jessica Lea Shores, MSW 111 E 12th St, Ada, OK 74820-6501 Ph: (580) 436-2690	Jessica Lea Shores, MSW 111 E 12th St, Ada, OK 74820-6501 Ph: (580) 436-2690

Reviews and Comments

Counselor in Ada, OK

Sharell Clydean Caton, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10725 County Road 3590, Ada, OK 74820 Phone: 580-665-0211
Jana Jean Webb, LPC Counselor Medicare: Medicare Enrolled Practice Location: 16050 County Road 1565, Ada, OK 74820 Phone: 405-476-1287 Fax: 580-436-9146
Ms. Paula Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 E 15th Street, Ada, OK 74820 Phone: 580-272-5170
Lonnie Roy Manuel, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Hoppe Blvd, Suite 6, Strong Family Development, Outpatient Services-ada, Ada, OK 74820 Phone: 580-436-1222 Fax: 580-436-1333
Ms. Sydney Caitlin Manning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 329 W 1st St, Ada, OK 74820 Phone: 580-320-5902
Mr. Eric Paul Hardison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17156 County Road 3543, Ada, OK 74820 Phone: 580-421-9422

Jessica Lea Shores, MSW - Medicare Counselor in Ada, OK