Kathleen Shaughnessy, in Orange, NJ - Medicare Counselor Provider

Kathleen Shaughnessy, is a medicare enrolled "Counselor - Mental Health" provider in Orange, New Jersey. Her current practice location is 395 S Center St, Orange, New Jersey. You can reach out to her office (for appointments etc.) via phone at (862) 253-4422.

Kathleen Shaughnessy is licensed to practice in New Jersey (license number 37AC00334300) 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 1669002796.

Contact Information

	Kathleen Shaughnessy,
	395 S Center St, Orange, NJ 07050-3205
	(862) 253-4422
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Shaughnessy
Gender	Female
Speciality	Counselor - Mental Health
Location	395 S Center St, Orange, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669002796
Provider Enumeration Date: 01/16/2020
Last Update Date: 01/16/2020

Medicare PECOS Information:

PECOS PAC ID: 6901255819
Enrollment ID: I20231218000139

Medical Identifiers

Medical identifiers for Kathleen Shaughnessy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669002796	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	37AC00334300 (New Jersey)	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. Kathleen Shaughnessy allows following entities to bill medicare on her behalf.

Entity Name	Theracorp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063947828 PECOS PAC ID: 8426319104 Enrollment ID: O20180220001235

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. Kathleen Shaughnessy 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
Kathleen Shaughnessy, 26 Beaumont Pl Apt 3h, Newark, NJ 07104-1657 Ph: (308) 884-5852	Kathleen Shaughnessy, 395 S Center St, Orange, NJ 07050-3205 Ph: (862) 253-4422

Reviews and Comments

Counselor in Orange, NJ

Jane Alison Penola, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 395 S Center St, Orange, NJ 07050 Phone: 973-675-3817
Ms. Dileiny Paulino, LAC Counselor Medicare: Medicare Enrolled Practice Location: 395 S Center St, Orange, NJ 07050 Phone: 973-675-3817 Fax: 973-673-5782
Martine Lamour, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 493 Valley St Apt 21, Orange, NJ 07050 Phone: 609-992-0230
Addys Santos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 Elizabeth St, Orange, NJ 07050 Phone: 973-651-8388
Ijeoma Marcia Duru- Akabogu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Cleveland St Apt B8, Orange, NJ 07050 Phone: 862-704-2155
Mrs. Tonia Robinson-lloyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 98e Hillyer St, Orange, NJ 07050 Phone: 862-253-3427
Anjelica Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 395 S Center St, Orange, NJ 07050 Phone: 973-675-3817

Kathleen Shaughnessy, - Medicare Counselor in Orange, NJ