Shaun Mykel Phelps, LMHC in Panama City, FL - Medicare Counselor Provider

Shaun Mykel Phelps, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Panama City, Florida. His current practice location is 2711 W 15th St, Panama City, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 769-6001.

Shaun Mykel Phelps is licensed to practice in Florida (license number MH11568) 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 1275870495.

Contact Information

	Shaun Mykel Phelps, LMHC
	2711 W 15th St, Panama City, FL 32401-1366
	(850) 769-6001
	(850) 769-6003

Map and Direction

Healthcare Provider's Profile

Full Name	Shaun Mykel Phelps
Gender	Male
Speciality	Counselor - Mental Health
Location	2711 W 15th St, Panama City, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275870495
Provider Enumeration Date: 01/08/2013
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1557712122
Enrollment ID: I20240108004621

Medical Identifiers

Medical identifiers for Shaun Mykel Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275870495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH11568 (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. Shaun Mykel Phelps allows following entities to bill medicare on his behalf.

Entity Name	Life Management Center Of Northwest Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508854571 PECOS PAC ID: 9739162371 Enrollment ID: O20040612000387

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. Shaun Mykel Phelps 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
Shaun Mykel Phelps, LMHC 459 Grace Ave, Panama City, FL 32401-2756 Ph: (850) 215-6007	Shaun Mykel Phelps, LMHC 2711 W 15th St, Panama City, FL 32401-1366 Ph: (850) 769-6001

Reviews and Comments

Counselor in Panama City, FL

Angela Gruber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-522-4484
Cheryl Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 E 15th St, Panama City, FL 32405 Phone: 850-522-4485 Fax: 850-522-4484
Anita Losoya-evon, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001
Sakeena Powe, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001
Samantha Ashley Morrison, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001
Ms. Jeanie J. Wolter, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 648 Florida Ave, Panama City, FL 32401 Phone: 850-769-6001 Fax: 850-769-6003
Kelly Bennett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 W 15th St, Panama City, FL 32401 Phone: 850-769-6001

Shaun Mykel Phelps, LMHC - Medicare Counselor in Panama City, FL