Mr Shane Harold Bonella, M COUN, LPC in Grants Pass, OR

Mr Shane Harold Bonella, M COUN, LPC is a medicare enrolled "Counselor - Professional" provider in Grants Pass, Oregon. His current practice location is 1215 Sw G St, Grants Pass, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 476-2373.

Mr Shane Harold Bonella is licensed to practice in Oregon (license number C2795) 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 1255640835.

Contact Information

	Mr Shane Harold Bonella, M COUN, LPC
	1215 Sw G St, Grants Pass, OR 97526-2544
	(541) 476-2373
	(541) 955-7444

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Shane Harold Bonella
Gender	Male
Speciality	Counselor - Professional
Location	1215 Sw G St, Grants Pass, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255640835
Provider Enumeration Date: 09/30/2010
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5991157067
Enrollment ID: I20240115001348

Medical Identifiers

Medical identifiers for Mr Shane Harold Bonella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255640835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C2795 (Oregon)	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. Mr Shane Harold Bonella allows following entities to bill medicare on his behalf.

Entity Name	Options For Southern Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062

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. Mr Shane Harold Bonella 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
Mr Shane Harold Bonella, M COUN, LPC 1545 Harbeck Rd, Grants Pass, OR 97527-5605 Ph: (541) 476-2373	Mr Shane Harold Bonella, M COUN, LPC 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373

Reviews and Comments

Counselor in Grants Pass, OR

Desarae Margaret Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-956-4943
Ms. Lisa Jean Meredith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 Fax: 541-476-1526
Taylor Way, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave, Grants Pass, OR 97527 Phone: 541-476-3302
Tamra Blanchard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1349 Golden Park Dr Apt B, Grants Pass, OR 97527 Phone: 541-761-3989 Fax: 541-226-2356
Samantha Tevis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373
Seann Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527 Phone: 541-956-4943
Jorge Romero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373

Mr Shane Harold Bonella, M COUN, LPC - Medicare Counselor in Grants Pass, OR