Shannon Brunson, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Freeport, Florida. She graduated from healthcare school in 1995 and has 31 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
188 Lodge Rd, Freeport, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 333-6283.
Shannon Brunson is licensed to practice in Florida (license number MH4811) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558479089.
Healthcare Provider's Profile
| Full Name | Shannon Brunson |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 31 Years |
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| Location | 188 Lodge Rd, Freeport, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shannon Brunson graduated from medical school in 1995
NPI Data:
- NPI Number: 1558479089
- Provider Enumeration Date: 08/25/2006
- Last Update Date: 03/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062852411
- Enrollment ID: I20240501004143
Medical Identifiers
Medical identifiers for Shannon Brunson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558479089 | NPI | - | NPPES |
| 765950900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | MH4811 (Florida) | 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. Shannon Brunson allows following entities to bill medicare on her behalf.
| Entity Name | Experiential Healing PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538961164 PECOS PAC ID: 2668951104 Enrollment ID: O20260205001608 |
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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. Shannon Brunson 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 |
Shannon Brunson, LMHC 188 Lodge Rd, Freeport, FL 32439-2212 Ph: (850) 333-6283 | Shannon Brunson, LMHC 188 Lodge Rd, Freeport, FL 32439-2212 Ph: (850) 333-6283 |
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