Shane Andrew Kavanaugh, MS, LMHC in Ames, IA - Medicare Counselor Provider

Shane Andrew Kavanaugh, MS, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Ames, Iowa. His current practice location is 125 S 3rd St, Ames, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 661-4210.

Shane Andrew Kavanaugh is licensed to practice in Iowa (license number 001560) 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 1356692792.

Contact Information

	Shane Andrew Kavanaugh, MS, LMHC
	125 S 3rd St, Ames, IA 50010-7042
	(515) 661-4210
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shane Andrew Kavanaugh
Gender	Male
Speciality	Counselor - Mental Health
Location	125 S 3rd St, Ames, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356692792
Provider Enumeration Date: 09/25/2012
Last Update Date: 03/13/2015

Medicare PECOS Information:

PECOS PAC ID: 1759804321
Enrollment ID: I20250325002274

Medical Identifiers

Medical identifiers for Shane Andrew Kavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356692792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	001560 (Iowa)	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. Shane Andrew Kavanaugh allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Shane Andrew Kavanaugh 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
Shane Andrew Kavanaugh, MS, LMHC 125 S 3rd St, Ames, IA 50010-7042 Ph: (515) 661-4210	Shane Andrew Kavanaugh, MS, LMHC 125 S 3rd St, Ames, IA 50010-7042 Ph: (515) 661-4210

Reviews and Comments

Counselor in Ames, IA

Valerie Stubbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1525 Airport Rd Ste 100, Ames, IA 50010 Phone: 511-292-3023
Christa Jean Reynolds, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Kellogg Ave, Ames, IA 50010 Phone: 515-233-2250 Fax: 515-233-3235
Sarah Statz, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 S Walnut Ave, Ames, IA 50010 Phone: 515-368-7504 Fax: 515-355-3491
Meredith Francom, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Billy Sunday Rd Ste 100, Ames, IA 50010 Phone: 515-337-1764 Fax: 515-337-0480
Kathleen Mcomber Lind, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Kellogg Ave, Ames, IA 50010 Phone: 515-233-2250 Fax: 515-233-2440
Shaquille Grant Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Kellogg Ave, Ames, IA 50010 Phone: 515-233-4931
Morgan Fielder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4923 Lincoln Way, Ames, IA 50014 Phone: 800-531-4236 Fax: 319-483-6661

Shane Andrew Kavanaugh, MS, LMHC - Medicare Counselor in Ames, IA