Kendra Ann Shoup, in Lorain, OH - Medicare Counselor Provider

Kendra Ann Shoup, is a medicare enrolled "Counselor - Professional" provider in Lorain, Ohio. Her current practice location is 6140 S Broadway, Lorain, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 233-7232.

Kendra Ann Shoup is licensed to practice in Ohio (license number E.0900277-SUPV) 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 1164721155.

Contact Information

	Kendra Ann Shoup,
	6140 S Broadway, Lorain, OH 44053-3821
	(440) 233-7232
	(440) 282-4779

Map and Direction

Healthcare Provider's Profile

Full Name	Kendra Ann Shoup
Gender	Female
Speciality	Counselor - Professional
Location	6140 S Broadway, Lorain, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164721155
Provider Enumeration Date: 03/16/2011
Last Update Date: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 1052833639
Enrollment ID: I20250324002596

Medical Identifiers

Medical identifiers for Kendra Ann Shoup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164721155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.0900277-SUPV (Ohio)	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. Kendra Ann Shoup allows following entities to bill medicare on her behalf.

Entity Name	Catholic Charities Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972550010 PECOS PAC ID: 6608866546 Enrollment ID: O20040513001107

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. Kendra Ann Shoup 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
Kendra Ann Shoup, 6140 S Broadway, Lorain, OH 44053-3821 Ph: (440) 233-7232	Kendra Ann Shoup, 6140 S Broadway, Lorain, OH 44053-3821 Ph: (440) 233-7232

Reviews and Comments

Counselor in Lorain, OH

Sabrina Jones, LCDC111 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 West Park Drive, Lorain, OH 44053 Phone: 440-989-4987 Fax: 440-282-4779
Mrs. Jennifer Lynn Shorter, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6150 Park Square Dr, Lorain, OH 44053 Phone: 440-984-3882
Gregory Nicholas Julian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 330-301-0441
Abigail Arroyo, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2173 N Ridge Rd E Ste E, Lorain, OH 44055 Phone: 440-260-8300
Robert Paul Jakovlic, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-7232 Fax: 440-282-4779
Kylie Nichol Dowdell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6140 S Broadway, Lorain, OH 44053 Phone: 440-233-7232 Fax: 440-282-4779
Carol Crow, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2173 N Ridge Rd E Ste E, Lorain, OH 44055 Phone: 440-260-8300

Kendra Ann Shoup, - Medicare Counselor in Lorain, OH