Staci Short, in La Place, LA - Medicare Counselor Provider

Staci Short, is a medicare enrolled "Counselor - Professional" provider in La Place, Louisiana. Her current practice location is 576 Belle Terre Blvd, La Place, Louisiana. You can reach out to her office (for appointments etc.) via phone at (504) 493-2271.

Staci Short is licensed to practice in Louisiana (license number LPC3219) 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 1376931501.

Contact Information

	Staci Short,
	576 Belle Terre Blvd, La Place, LA 70068-1715
	(504) 493-2271
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Short
Gender	Female
Speciality	Counselor - Professional
Location	576 Belle Terre Blvd, La Place, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376931501
Provider Enumeration Date: 12/22/2014
Last Update Date: 06/15/2026

Medicare PECOS Information:

PECOS PAC ID: 7810340775
Enrollment ID: I20240126001392

Medical Identifiers

Medical identifiers for Staci Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376931501	NPI	-	NPPES
47-2598992	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFT 1096 (Louisiana)	Secondary
101YP2500X	Counselor - Professional	LPC3219 (Louisiana)	Primary
101YS0200X	Counselor - School	MFT 1096 (Louisiana)	Secondary
101YM0800X	Counselor - Mental Health	MFT 1096 (Louisiana)	Secondary
101YP2500X	Counselor - Professional	MFT 1096 (Louisiana)	Secondary

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. Staci Short allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Providers For A Healthy Feliciana Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821245127 PECOS PAC ID: 1052220985 Enrollment ID: O20040224000173

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. Staci Short 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
Staci Short, 1769 Boulevard De Province Apt E, Baton Rouge, LA 70816-8618 Ph: () -	Staci Short, 576 Belle Terre Blvd, La Place, LA 70068-1715 Ph: (504) 493-2271

Reviews and Comments

Counselor in La Place, LA

Ms. Keyorka K Dennis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 New Highway 51 Ste C, La Place, LA 70068 Phone: 504-702-3995 Fax: 504-702-3994
Chavonda Henyard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 New Highway 51 Ste C, La Place, LA 70068 Phone: 985-652-1809 Fax: 985-652-1809
Christy Tassin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 W Airline Hwy, La Place, LA 70068 Phone: 504-717-9185
Mrs. Veda Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Dominican Rd, La Place, LA 70068 Phone: 985-224-2998
Melvin R Burrell Jr., PHD. Counselor Medicare: Accepting Medicare Assignments Practice Location: 1809 W Airline Hwy, La Place, LA 70068 Phone: 337-353-6239
Mrs. Michelle M Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Rue De Sante Ste 4, La Place, LA 70068 Phone: 985-652-7840
Mrs. Samantha D Beech, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 New Highway 51, La Place, LA 70068 Phone: 985-625-1809

Staci Short, - Medicare Counselor in La Place, LA