Shawn Jeffry Miller, LPC in Peoria, IL - Medicare Counselor Provider

Shawn Jeffry Miller, LPC is a medicare enrolled "Counselor - Professional" provider in Peoria, Illinois. His current practice location is 218 E Cherry Ridge Rd, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 253-0216.

Shawn Jeffry Miller is licensed to practice in Illinois (license number 178018604) 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 1033989751.

Contact Information

	Shawn Jeffry Miller, LPC
	218 E Cherry Ridge Rd, Peoria, IL 61614-5117
	(309) 253-0216
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shawn Jeffry Miller
Gender	Male
Speciality	Counselor - Professional
Location	218 E Cherry Ridge Rd, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033989751
Provider Enumeration Date: 01/03/2024
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 5193246114
Enrollment ID: I20250306002783

Medical Identifiers

Medical identifiers for Shawn Jeffry Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033989751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178018604 (Illinois)	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. Shawn Jeffry Miller allows following entities to bill medicare on his behalf.

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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. Shawn Jeffry Miller 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
Shawn Jeffry Miller, LPC 218 E Cherry Ridge Rd, Peoria, IL 61614-5117 Ph: (309) 253-0216	Shawn Jeffry Miller, LPC 218 E Cherry Ridge Rd, Peoria, IL 61614-5117 Ph: (309) 253-0216

Reviews and Comments

Counselor in Peoria, IL

Ms. Debra Fay Disney, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7617 N Villa Wood Ln, Peoria, IL 61614 Phone: 309-693-8200
Julie Kristine Peters, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy Ste 14, Peoria, IL 61615 Phone: 309-550-1001
Mrs. Linda L Zears, MS LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3716 W Brighton Ave, Peoria, IL 61615 Phone: 309-692-7755 Fax: 309-692-2262
Mrs. Tamara Marie Lott, LCPC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 515 Ne Glen Oak Ave Ste 101, Osf Saint Francis Medical Center, Peoria, IL 61603 Phone: 309-655-7795 Fax: 309-655-4609
Dr. Michael S Shear, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Fulton St, Suite 101, Peoria, IL 61602 Phone: 309-673-9385 Fax: 309-673-9446
Mrs. Donna Jaree Brooks, MA LCPC Counselor Medicare: Medicare Enrolled Practice Location: 3716 W Brighton Ave, Peoria, IL 61615 Phone: 309-692-7755 Fax: 309-692-2262
Amy M. Cundiff, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4806 N Sheridan Rd, Peoria, IL 61614 Phone: 309-682-6258 Fax: 309-682-6472

Shawn Jeffry Miller, LPC - Medicare Counselor in Peoria, IL