Marlo Gazzo Shepard, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Oak Ridge, Louisiana. Her current practice location is
107 Holly Street, Oak Ridge, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 381-7133.
Marlo Gazzo Shepard is licensed to practice in Louisiana (license number MFT1340) 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 1669200994.
Healthcare Provider's Profile
| Full Name | Marlo Gazzo Shepard |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 107 Holly Street, Oak Ridge, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669200994
- Provider Enumeration Date: 07/26/2024
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315461266
- Enrollment ID: I20250411002844
Medical Identifiers
Medical identifiers for Marlo Gazzo Shepard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669200994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 0494 (Mississippi) | Secondary |
| 106H00000X | Marriage & Family Therapist | MFT1340 (Louisiana) | 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. Marlo Gazzo Shepard allows following entities to bill medicare on her behalf.
| Entity Name | Brightside Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230510001413 |
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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. Marlo Gazzo Shepard 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 |
Marlo Gazzo Shepard, LMFT Po Box 87, Oak Ridge, LA 71264-0087 Ph: (318) 381-7713 | Marlo Gazzo Shepard, LMFT 107 Holly Street, Oak Ridge, LA 71264 Ph: (318) 381-7133 |
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