Sheila Payen, - Medicare Counselor in Lexington, MA

Sheila Payen, is a medicare enrolled "Counselor - Mental Health" provider in Lexington, Massachusetts. Her current practice location is 125 Hartwell Ave, Lexington, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 861-0890.

Sheila Payen is licensed to practice in Massachusetts (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 1780160218.

Contact Information

Sheila Payen,
125 Hartwell Ave,
Lexington, MA 02421-3100
(781) 861-0890
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameSheila Payen
GenderFemale
SpecialityCounselor - Mental Health
Location125 Hartwell Ave, Lexington, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780160218
  • Provider Enumeration Date: 07/18/2018
  • Last Update Date: 07/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7618324831
  • Enrollment ID: I20231109002645

Medical Identifiers

Medical identifiers for Sheila Payen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780160218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (Massachusetts)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. Sheila Payen allows following entities to bill medicare on her behalf.
Entity NameEliot Community Human Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679648182
PECOS PAC ID: 2062488000
Enrollment ID: O20040909001199

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. Sheila Payen 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 AddressPractice Location Address
Sheila Payen,
125 Hartwell Ave,
Lexington, MA 02421-3100

Ph: (781) 861-0890
Sheila Payen,
125 Hartwell Ave,
Lexington, MA 02421-3100

Ph: (781) 861-0890

Reviews and Comments


Counselor in Lexington, MA

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Mr. Kyle Combs,
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Practice Location: 1040 Waltham St, Lexington, MA 02421
Phone: 774-262-2868    
Angeliki Constantine,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 125 Hartwell Ave, Lexington, MA 02421
Phone: 781-861-0890    
Emma Clay, RN
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Medicare: Not Enrolled in Medicare
Practice Location: 125 Hartwell Ave, Lexington, MA 02421
Phone: 781-861-0890    
Kate Mcgrath,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 125 Hartwell Ave, Lexington, MA 02421
Phone: 781-861-0890    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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