Shaquera Fowlkes, in Montclair, NJ - Medicare Counselor Provider

Shaquera Fowlkes, is a medicare enrolled "Counselor - Mental Health" provider in Montclair, New Jersey. Her current practice location is 41 Glenridge Ave Apt 2r, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 704-7966.

Shaquera Fowlkes is licensed to practice in * (Not Available) (license number ) 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 1972225977.

Contact Information

	Shaquera Fowlkes,
	41 Glenridge Ave Apt 2r, Montclair, NJ 07042-4741
	(201) 704-7966
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shaquera Fowlkes
Gender	Female
Speciality	Counselor - Mental Health
Location	41 Glenridge Ave Apt 2r, Montclair, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972225977
Provider Enumeration Date: 09/15/2022
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 1850822206
Enrollment ID: I20241009001908

Medical Identifiers

Medical identifiers for Shaquera Fowlkes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972225977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Shaquera Fowlkes allows following entities to bill medicare on her behalf.

Entity Name	Valera Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279

Entity Name	Brave Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902415318 PECOS PAC ID: 2567882731 Enrollment ID: O20201009001446

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. Shaquera Fowlkes 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
Shaquera Fowlkes, 125 Glenridge Ave Unit 1117, Montclair, NJ 07042-6842 Ph: (201) 247-6373	Shaquera Fowlkes, 41 Glenridge Ave Apt 2r, Montclair, NJ 07042-4741 Ph: (201) 704-7966

Reviews and Comments

Counselor in Montclair, NJ

Mr. Edmund John Rung Jr., LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Park St., Edmund J. Rung, Jr, Montclair, NJ 07042 Phone: 908-578-9665
Ms. Mary Ann Forster, L.C.S.W. Counselor Medicare: Accepting Medicare Assignments Practice Location: 101 Park St, Montclair, NJ 07042 Phone: 201-503-4943
Mr. Leonard H Smith, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Bloomfield Ave, Montclair, NJ 07042 Phone: 201-914-4106
Margaret Ross, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Grove St Ste 14-4, Montclair, NJ 07042 Phone: 201-835-3286
Robin Ann Carroll, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Park St, Montclair, NJ 07042 Phone: 862-485-8811
Christine Hubbard, LCSW, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Valley Rd Apt 2, Montclair, NJ 07042 Phone: 201-562-9162
Alice C. Kearney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Claremont Ave, Montclair, NJ 07042 Phone: 201-746-9052

Shaquera Fowlkes, - Medicare Counselor in Montclair, NJ