Mrs Mashallah Shakur, LCSW in Roswell, GA - Medicare Counselor Provider

Mrs Mashallah Shakur, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Roswell, Georgia. Her current practice location is 3438 Laurelwood Ct Ne, Roswell, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 637-7166.

Mrs Mashallah Shakur is licensed to practice in Georgia (license number CSW005390) 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 1790172849.

Contact Information

	Mrs Mashallah Shakur, LCSW
	3438 Laurelwood Ct Ne, Roswell, GA 30075-5250
	(678) 637-7166
	(770) 414-0804

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mashallah Shakur
Gender	Female
Speciality	Counselor - Mental Health
Location	3438 Laurelwood Ct Ne, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790172849
Provider Enumeration Date: 04/15/2015
Last Update Date: 04/15/2015

Medicare PECOS Information:

PECOS PAC ID: 5799006854
Enrollment ID: I20240628003275

Medical Identifiers

Medical identifiers for Mrs Mashallah Shakur such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790172849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CSW005390 (Georgia)	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. Mrs Mashallah Shakur allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Mashallah Shakur 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 Mashallah Shakur, LCSW 3438 Laurelwood Ct Ne, Roswell, GA 30075-5250 Ph: (678) 637-7166	Mrs Mashallah Shakur, LCSW 3438 Laurelwood Ct Ne, Roswell, GA 30075-5250 Ph: (678) 637-7166

Reviews and Comments

Counselor in Roswell, GA

Sydney Buffington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Sun Valley Dr Ste D2, Roswell, GA 30076 Phone: 770-910-9162 Fax: 770-910-9768
Mrs. Melissa Ragsdale Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Bombay Ln, Roswell, GA 30076 Phone: 770-262-2080 Fax: 770-754-4676
Barbara Blake Brown, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Sloan St, Roswell, GA 30075 Phone: 770-595-8999 Fax: 678-226-9683
Mr. Christian Lamar King, LPC Counselor Medicare: Medicare Enrolled Practice Location: 11111 Houze Rd Ste 225, Roswell, GA 30076 Phone: 770-603-0123
Ms. Shannon Burge Wallon, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Woodstock Rd Ste 3250, Roswell, GA 30075 Phone: --
Kaitlyn Sampson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Colonial Park Dr Ste 315, Roswell, GA 30075 Phone: 404-492-8187
Beverly Joi Matthews, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1014 Canton St, Roswell, GA 30075 Phone: 770-993-2676 Fax: 770-993-1118

Mrs Mashallah Shakur, LCSW - Medicare Counselor in Roswell, GA