Shannon David Selby, in Cleveland, TX - Medicare Counselor Provider

Shannon David Selby, is a medicare enrolled "Counselor - Professional" provider in Cleveland, Texas. His current practice location is 153 County Road 3810, Cleveland, Texas. You can reach out to his office (for appointments etc.) via phone at (870) 362-1857.

Shannon David Selby is licensed to practice in Texas (license number 87443) 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 1831966928.

Contact Information

	Shannon David Selby,
	153 County Road 3810, Cleveland, TX 77328-6372
	(870) 362-1857
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon David Selby
Gender	Male
Speciality	Counselor - Professional
Location	153 County Road 3810, Cleveland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831966928
Provider Enumeration Date: 12/07/2023
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 2163869009
Enrollment ID: I20240327001143

Medical Identifiers

Medical identifiers for Shannon David Selby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831966928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	87443 (Texas)	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. Shannon David Selby allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

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. Shannon David Selby 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
Shannon David Selby, 153 County Road 3810, Cleveland, TX 77328-6372 Ph: () -	Shannon David Selby, 153 County Road 3810, Cleveland, TX 77328-6372 Ph: (870) 362-1857

Reviews and Comments

Counselor in Cleveland, TX

Tiffany Ann Jackson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2004 Truman St, Cleveland, TX 77327 Phone: 281-432-3000 Fax: 936-760-2898
Stacy Lynn Reynolds, Counselor Medicare: Medicare Enrolled Practice Location: 112 Shade Crest Ln, Cleveland, TX 77327 Phone: 281-528-3500
Kayce Lynn Morgan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 401 E Crockett St, Cleveland, TX 77327 Phone: 832-233-3086 Fax: 832-415-3050
Milagros Aguilar-castro, LPC, LCDC Counselor Medicare: Medicare Enrolled Practice Location: 307 N William Barnett Ave, Cleveland, TX 77327 Phone: 281-592-2224
Rebecca L Taylor, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 853 Kinsman Rd, Cleveland, TX 77328 Phone: 281-786-0001
Sthefany Castro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 944 Road 5102, Cleveland, TX 77327 Phone: 760-907-8709

Shannon David Selby, - Medicare Counselor in Cleveland, TX