Sheree Itza, MED, LCAC in Avon, IN - Medicare Counselor Provider

Sheree Itza, MED, LCAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Avon, Indiana. Her current practice location is 6655 E Us Highway 36 Ste 100, Avon, Indiana. You can reach out to her office (for appointments etc.) via phone at (888) 714-1927.

Sheree Itza is licensed to practice in Indiana (license number 87000203A) 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 1124516257.

Contact Information

	Sheree Itza, MED, LCAC
	6655 E Us Highway 36 Ste 100, Avon, IN 46123
	(888) 714-1927
	(317) 745-9565

Map and Direction

Healthcare Provider's Profile

Full Name	Sheree Itza
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	6655 E Us Highway 36 Ste 100, Avon, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124516257
Provider Enumeration Date: 04/24/2018
Last Update Date: 09/07/2018

Medicare PECOS Information:

PECOS PAC ID: 9133562572
Enrollment ID: I20240213001683

Medical Identifiers

Medical identifiers for Sheree Itza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124516257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	87000203A (Indiana)	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. Sheree Itza allows following entities to bill medicare on her behalf.

Entity Name	Cleanslate Medical Group Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515

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. Sheree Itza 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
Sheree Itza, MED, LCAC 5101 E Us Highway 36 Ste 100, Avon, IN 46123-6646 Ph: (888) 714-1927	Sheree Itza, MED, LCAC 6655 E Us Highway 36 Ste 100, Avon, IN 46123 Ph: (888) 714-1927

Reviews and Comments

Counselor in Avon, IN

Ewa Barnaby, MA CMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1928 S Dan Jones Rd, Avon, IN 46123 Phone: 317-709-4106
Ms. Geralyn Rae Pierce, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927 Fax: 317-272-0807
Mrs. Ifen Tsai Donovan, M.A. LMHCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10080 E Us Highway 36, Avon, IN 46123 Phone: 317-790-9396
Jin Han, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927
Amanda Sharkey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1928 S Dan Jones Rd, Avon, IN 46123 Phone: 217-854-8265
Olivia Ames Borman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5101 E Us Highway 36 Ste 101, Avon, IN 46123 Phone: 888-714-1927
Celia Freeman, MA CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927

Sheree Itza, MED, LCAC - Medicare Counselor in Avon, IN