Ms Shondra T Watson, LPC in Manitowoc, WI - Medicare Counselor Provider

Ms Shondra T Watson, LPC is a medicare enrolled "Counselor - Professional" provider in Manitowoc, Wisconsin. Her current practice location is 3415 Custer St Ste D, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 652-9310.

Ms Shondra T Watson is licensed to practice in Wisconsin (license number 6537-125) 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 1558659755.

Contact Information

	Ms Shondra T Watson, LPC
	3415 Custer St Ste D, Manitowoc, WI 54220-4328
	(920) 652-9310
	(920) 652-9316

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Shondra T Watson
Gender	Female
Speciality	Counselor - Professional
Location	3415 Custer St Ste D, Manitowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558659755
Provider Enumeration Date: 07/21/2011
Last Update Date: 02/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9234580291
Enrollment ID: I20240104000691

Medical Identifiers

Medical identifiers for Ms Shondra T Watson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558659755	NPI	-	NPPES
1558659755	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6537-125 (Wisconsin)	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. Ms Shondra T Watson allows following entities to bill medicare on her behalf.

Entity Name	Bellin Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089

Entity Name	Bellin Psychiatric Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884

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. Ms Shondra T Watson 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
Ms Shondra T Watson, LPC Po Box 22040, Green Bay, WI 54305-2040 Ph: (920) 445-7210	Ms Shondra T Watson, LPC 3415 Custer St Ste D, Manitowoc, WI 54220-4328 Ph: (920) 652-9310

Reviews and Comments

Counselor in Manitowoc, WI

Lana L. Roever, M.S., S.A.C.I.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 S. 8th Street, Manitowoc, WI 54221 Phone: 920-683-4230 Fax: 920-683-4908
Mrs. Corrin Laurene Applekamp, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Riverview Dr, Manitowoc, WI 54220 Phone: 920-663-1035
Courtney Balthazor, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Riverview Dr, Manitowoc, WI 54220 Phone: 920-663-1035 Fax: 920-215-4918
Kirstin Duprey, QTT Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230
Justine Boonperm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4251
Nicole Bonin, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 816 Washington St, Manitowoc, WI 54220 Phone: 920-645-3743
Austin David Lucas, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 926 South 8th Street, Manitowoc, WI 54221 Phone: 920-683-4230 Fax: 920-683-4908

Ms Shondra T Watson, LPC - Medicare Counselor in Manitowoc, WI