Mrs Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A is a medicare enrolled "Counselor - Professional" provider in Tobaccoville, North Carolina. She graduated from healthcare school in 2015 and has 10 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Thriveworks Clinical - North Carolina Pc and her current practice location is
150 Norwood Forest Ln, Tobaccoville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(866) 700-1606.
Mrs Jenifer Knight Shadrick is licensed to practice in North Carolina (license number 12241) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780030270.
Healthcare Provider's Profile
| Full Name | Mrs Jenifer Knight Shadrick |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 10 Years |
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| Location | 150 Norwood Forest Ln, Tobaccoville, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jenifer Knight Shadrick graduated from medical school in 2015
NPI Data:
- NPI Number: 1780030270
- Provider Enumeration Date: 05/13/2016
- Last Update Date: 08/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 0840649596
- Enrollment ID: I20231207000658
Medical Identifiers
Medical identifiers for Mrs Jenifer Knight Shadrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780030270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-22760 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 12241 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Thriveworks Clinical - North Carolina Pc | 8527471200 | 93 |
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. Mrs Jenifer Knight Shadrick allows following entities to bill medicare on her behalf.
| Entity Name | Thriveworks Clinical - North Carolina Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669 |
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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. Mrs Jenifer Knight Shadrick 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 |
Mrs Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A 150 Norwood Forest Ln, Tobaccoville, NC 27050-9498 Ph: (866) 700-1606 | Mrs Jenifer Knight Shadrick, MA, QP, LPC, LCAS-A 150 Norwood Forest Ln, Tobaccoville, NC 27050-9498 Ph: (866) 700-1606 |
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