Shawn S Gravelle, LPC in Pocatello, ID - Medicare Counselor Provider

Shawn S Gravelle, LPC is a medicare enrolled "Counselor" provider in Pocatello, Idaho. His current practice location is 210 E Center St, Suite B, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 234-2600.

Shawn S Gravelle is licensed to practice in Idaho (license number LPC3523) 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 1295855963.

Contact Information

	Shawn S Gravelle, LPC
	210 E Center St, Suite B, Pocatello, ID 83201-6326
	(208) 234-2600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shawn S Gravelle
Gender	Male
Speciality	Counselor
Location	210 E Center St, Pocatello, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295855963
Provider Enumeration Date: 03/29/2007
Last Update Date: 06/27/2008

Medicare PECOS Information:

PECOS PAC ID: 4284081126
Enrollment ID: I20231114001822

Medical Identifiers

Medical identifiers for Shawn S Gravelle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295855963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LPC3523 (Idaho)	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 S Gravelle allows following entities to bill medicare on his behalf.

Entity Name	River Valley Behavioral Health & Wellness Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316197148 PECOS PAC ID: 3678625035 Enrollment ID: O20090715000482

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20221117000817

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 S Gravelle 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 S Gravelle, LPC 771 Pinewood St, Chubbuck, ID 83202-2651 Ph: (208) 380-0545	Shawn S Gravelle, LPC 210 E Center St, Suite B, Pocatello, ID 83201-6326 Ph: (208) 234-2600

Reviews and Comments

Counselor in Pocatello, ID

Ms. Dedra Christine Sanna, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035
Courtney Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Garrett Way, Ste 2, Pocatello, ID 83201 Phone: 208-233-7832
Christina Strauch, SE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1246 Yellowstone Ave Ste C5, Pocatello, ID 83201 Phone: 208-233-0150 Fax: 208-233-0159
Ms. Rit Larae Nauman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3330 Highway 30 W, Pocatello, ID 83201 Phone: 208-234-9100 Fax: 208-234-9104
Michael L Stevens, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 109 N Arthur Ave Ste 203, Pocatello, ID 83204 Phone: 208-234-4673 Fax: 208-234-4677
Mrs. Cassidy Michelle Roske, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 Washington Ave, Pocatello, ID 83201 Phone: 208-234-2646 Fax: 208-232-0035
Matthew R Christensen, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 5230 W Moonlight Mine Rd., Pocatello, ID 83201 Phone: 208-351-3956

Shawn S Gravelle, LPC - Medicare Counselor in Pocatello, ID